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Don’t Be a Headline– Test Faster,
                      Simpler, Safer


                                  Karen Hsu
                  Director Product Marketing




1
Agenda

• Challenges and Market Drivers in Healthcare
• Pain Points
• Informatica Solution
• Case Study
• Summary




                                                2
Overcoming Barriers with Informatica
Application Complexity & Interdependencies are the main reason that
organizations live with PHI in non-production systems
       Small Group                                                                                                WEB ENABLED SERVICES
Rating, Quoting, Enrollment
                                             In systems                                                                  PORTALS
                                                                                       CORPORATE                        ASSOCIATE
                                               (ecerts)                               INFORMATION
                                                                                                                         BROKER
       Account                                                                          FACTORY
                                                                                     (EDW/ODS/SDR)                      EMPLOYER
       Manager                                                                                                           MEMBER
                                            eHub
                                                                                                                        PROVIDER


                                                                                          MANAGEMENT
                                                                                           REPORTS
                                                              METAVANCE                                                     IVR
                                                              Claims Processing
                              SIP/BMI                               Product
                                                               Billing/Eligibility
                                                              Provider Contracts
                                                                                             Atlantes
                                                                                          Personal Nurse
                                                                                                                           CCP2
                                                                BACK-END
                                                            Claims Processing

   AUTOMATED                                                                                                       Additional Applications
   ENROLLMENT
                                                                                                                           FRED
                                                                                                                     Financial Recovery
                                                                                                                         MACESS
                                                                                                                         Workflow
          PROACT                             PBS                 ORACLE                              Product
                                        (Premium Billing)    (Financial Reporting)                                         New
                                                                                                                   Credentialling System
  WIZARDS                                                                                     Dynamic Plan Load
                                                                                                                           SPOE
                                                                                              Product Database      Provider Maintenance
                                                                                                                         Outbound
  Large Group & ASO           URAAP                                SOLAR                       Sold Plan Finder
                                                                (Commissions)
                                                                                                                      Enrollment Feeds
   Web Enrollment




                                                                                                                                             3
Wall of Shame?




                 4
The Informatica Solution




5
Simplify, Automate, & Validate Your Test Data
 Environment
     Best Practices and                                    Integrated Platform for
Accelerators for Productivity                            Consistency and Scalability




                          Define Once, Deploy Everywhere for
                           Lower Total Cost of Ownership


                                                                                       6
Solution Architecture –
A Holistic Approach to Managing Test Data


       Discovery    Validation              Test & QA




            Mask
                                             Offshore,
                                            Outsourced
                                 DEV




                                 TEST
PROD
           Subset
                                            Development
                                             & Support
                                 TRAIN




                                                          7
Ensuring Test Data Privacy
                               Define
Sophisticated Methodology   Compliance                          Business
                               Officer                          Analysts


                                      Define Sensitive                      Standardized
                                           Data                               Policies


                              Discover

                                 Data                          Auditor(s)
   Audit       Define         Analysts


                                     Identify Sensitive
                                                                        Assess Exposure
                                            Data


                               Apply
   Apply      Discover
                            Application                           DBA(s)
                               Owners

                                          Apply Security
                                                                            Operationalize
                                            Policies


                                Audit

 Process Driven Approach    Compliance                       Application
                               Officer                     Administrators


                                      Monitor & Verify                  Determine Risk




                                                                                             8
Leading Healthcare Payer
   Comply with HITECH Act and Increase Testing Productivity
The Challenge. (1) Meet HIPAA and HITECH Act compliance regulation and secure confidential data (2)
Improve test data quality and performance

                                 The Solution                                                 The Result

Production                       Testing                                                Created smaller subsets of
                                                                                        production for specific
                                                                                        testing purposes, resulting
                                                                                        higher test data quality and
                                                                                        performance
   Metavance
                                                                                        Protected PHI and PII,
                                                                                        ensuring compliance with
                                                                                        HIPAA and HITECH Act



   Enrollment




                                                                                                                   9
Summary




10
Simplify, Automate, & Validate Your Test Data
 Environment
     Best Practices and                                    Integrated Platform for
Accelerators for Productivity                            Consistency and Scalability




                          Define Once, Deploy Everywhere for
                           Lower Total Cost of Ownership


                                                                                       11

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Test Data Management for healthcare

  • 1. Don’t Be a Headline– Test Faster, Simpler, Safer Karen Hsu Director Product Marketing 1
  • 2. Agenda • Challenges and Market Drivers in Healthcare • Pain Points • Informatica Solution • Case Study • Summary 2
  • 3. Overcoming Barriers with Informatica Application Complexity & Interdependencies are the main reason that organizations live with PHI in non-production systems Small Group WEB ENABLED SERVICES Rating, Quoting, Enrollment In systems PORTALS CORPORATE ASSOCIATE (ecerts) INFORMATION BROKER Account FACTORY (EDW/ODS/SDR) EMPLOYER Manager MEMBER eHub PROVIDER MANAGEMENT REPORTS METAVANCE IVR Claims Processing SIP/BMI Product Billing/Eligibility Provider Contracts Atlantes Personal Nurse CCP2 BACK-END Claims Processing AUTOMATED Additional Applications ENROLLMENT FRED Financial Recovery MACESS Workflow PROACT PBS ORACLE Product (Premium Billing) (Financial Reporting) New Credentialling System WIZARDS Dynamic Plan Load SPOE Product Database Provider Maintenance Outbound Large Group & ASO URAAP SOLAR Sold Plan Finder (Commissions) Enrollment Feeds Web Enrollment 3
  • 6. Simplify, Automate, & Validate Your Test Data Environment Best Practices and Integrated Platform for Accelerators for Productivity Consistency and Scalability Define Once, Deploy Everywhere for Lower Total Cost of Ownership 6
  • 7. Solution Architecture – A Holistic Approach to Managing Test Data Discovery Validation Test & QA Mask Offshore, Outsourced DEV TEST PROD Subset Development & Support TRAIN 7
  • 8. Ensuring Test Data Privacy Define Sophisticated Methodology Compliance Business Officer Analysts Define Sensitive Standardized Data Policies Discover Data Auditor(s) Audit Define Analysts Identify Sensitive Assess Exposure Data Apply Apply Discover Application DBA(s) Owners Apply Security Operationalize Policies Audit Process Driven Approach Compliance Application Officer Administrators Monitor & Verify Determine Risk 8
  • 9. Leading Healthcare Payer Comply with HITECH Act and Increase Testing Productivity The Challenge. (1) Meet HIPAA and HITECH Act compliance regulation and secure confidential data (2) Improve test data quality and performance The Solution The Result Production Testing Created smaller subsets of production for specific testing purposes, resulting higher test data quality and performance Metavance Protected PHI and PII, ensuring compliance with HIPAA and HITECH Act Enrollment 9
  • 11. Simplify, Automate, & Validate Your Test Data Environment Best Practices and Integrated Platform for Accelerators for Productivity Consistency and Scalability Define Once, Deploy Everywhere for Lower Total Cost of Ownership 11

Editor's Notes

  1. Informatica Solution - Value Proposition, Architecture, Key Capabilities