Claims and enrollment data are a self-funded plan’s most important (and often most overlooked) asset. Do you know where your plan’s 2012 data are? They are warehoused somewhere. Whoever controls that warehouse controls your plan.
In this free webinar we will highlight the key features of data warehousing that assure you control your data and your plan. Ten criteria are presented that you should use to assess your current data warehouse arrangements and determine who really controls your plan.
For more information, please visit: http://www.healthdecisions.com
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Health Decisions Webinar: January 2013 data warehouses
1. Top 10 Do’s and Don’ts of
Data Warehousing
Presenter:
Si Nahra, Ph.D., President
January 29, 2013
2. About Health Decisions, Inc.
Pioneering Specialists in
Group Health Care
Post-Payment Administration
For Over 25 Years
Customer Philosophy
Respect for Existing Procedures
Emphasis on Customization
Focus on Solutions
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3. The Rise of Data Warehousing
• Until recently, Data Warehousing just for “Jumbos”
• Data Warehousing power beyond question –
Once started, none stopped.
• But the practicality of Data Warehousing was beyond
all but the biggest.
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4. Data Warehousing Today
Technical Barriers Once All Barriers Are Now
Loomed Large Removed
• Secure data transfers not • Secure data transfers
available, reliable or now routine with multiple
adequate. options.
• Data storage capacity • Data storage capacity
limits quickly exceeded plentiful and inexpensive.
• Data access & • Software support makes
processing capabilities access and processing
too specialized ability widespread
• IT support too expensive • Support services easily
cost justified
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5. Data Warehousing Today
Most Data Warehouses today
built by IT staff for IT purposes
IT priorities ≠ Plan Priorities
Focus of this webinar:
Data Warehousing for the Self-funded
Plan Fiduciary
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6. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 6
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7. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 7
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8. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 8
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9. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 9
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10. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 10
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11. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 11
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12. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all
source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 12
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13. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum
necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 13
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14. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 14
1/2013
15. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 15
1/2013
16. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use
accounting regulations.
Copyright Health Decisions, Inc. 16
1/2013
17. Top 10 Data Warehousing Features
1. Accepts data files in any form and format.
2. Maintains link to original data.
3. Supports two-way data transfer.
4. Stores each client’s data separately.
5. Stores data behind client controlled firewall or on-site.
6. Data converted to standard record while retaining all source unique fields.
7. Data segmentation supports HIPAA “minimum necessary;” simplifies data access.
8. All applications use Microsoft®. No new software needed.
9. Monitors access to and use by all client-authorized users.
10. Supports all HIPAA requirements including new use accounting regulations.
Copyright Health Decisions, Inc. 17
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18. Past Webinars Available
Recordings of past webinars are available upon request, including:
• December 2012 – Union Trusts: Health Reforms Most Overlooked Winner?
• November 2012 -- Year-end Renewal and Bidding: Opportunities for Control and Savings
• October 2012 – The 5 Most Important Things an Effective Dependent Audit Should Include
• September 2012 - Old Question, New Twist: Is Self-funding Right for Your Group Health Plan?
• August 2012 - Are You Ready to Manage Your Health Plan Costs?
• June 2012 - Group Health Brokers’ Future: Disintermediation or Re-intermediation
• May 2012 – Five Levers of Management Control
• April 2012 – How the AMA Can Help You with Plan Oversight
• March 2012 – Health Data Control
• February 2012 – Health Reform: A Contrarian’s Perspective
• January 2012 – The Road to 100% Transparency
• December 2011 – 2012: What Does it Hold for Self-funded Health Plans?
For more information, please visit www.healthdecisions.com
Copyright Health Decisions, Inc. 18
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19. For More Information
Contact
si@healthdecisions.com
734-451-2230
Connect with me on LinkedIn
Add me to your circles on Google+
Like us on FaceBook
Follow us on Twitter
Copyright Health Decisions, Inc. 19
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Hinweis der Redaktion
We want to pose initial questions to participants at this point: Are you a self-funded plan (choose one) __fiduciary __manager __advisor __administrator What is the approximate number of active employees in the self-funded plan you represent? __under 100 __100-1000 __1000 to 5000 __over 5000 What is the approximate number of retirees in the self-funded plan you represent? __ none __under 100 __100-1000 __1000 to 5000 __over 5000