52
Saving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National HIPAA Summit March 28, 2003 Jeri Ostling Jeri Ostling Senior Health Care Consultant Teradata Division, NCR

Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

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Page 1: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Sav

ing $

$$ for

Continued

H

IPAA C

om

plia

nce

with

Dat

a M

art

Conso

lidat

ion

and A

ctiv

e D

ata

War

ehousi

ng

6th

National

HIP

AA S

um

mit

Mar

ch 2

8,

2003

Jeri

Ost

lin

gJe

ri O

stlin

gSen

ior

Hea

lth C

are

Consu

ltan

tTer

adat

a D

ivis

ion,

NCR

Page 2: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Ag

en

da

•G

art

ner�

s A

rch

itect

ure

for

HIP

AA

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mp

lian

ce

•C

on

cep

ts>

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Mart

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nso

lid

ati

on

>A

ctiv

e D

ata

Ware

ho

usi

ng

•A

pp

lica

tion

of

these

con

cep

ts t

o C

on

tin

ued

HIP

AA

C

om

plian

ce

•A

Healt

hca

re C

ust

om

er

•Q

uest

ion

s

Page 3: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Gart

ner�

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rap

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ap

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ack�

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rovi

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term

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ults

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en�

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appro

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tech

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ap (

transl

ato

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inte

gra

te (

applic

atio

n inte

gra

tor)

and p

rovi

de

an o

per

atio

nal

data

sto

re (

data

base

)

Page 4: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Gart

ner�

s W

rap

, M

ap

&

Hack

Str

ate

gy

Page 5: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Arc

hit

ect

ure

s fo

r H

IPA

A C

om

plian

ceb

y G

art

ner

Page 6: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Arc

hit

ect

ure

s fo

r H

IPA

A C

om

plian

ceb

y G

art

ner

Act

ive

Dat

aW

areh

ouse

Page 7: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Ag

en

da

•D

ata

Mart

Co

nso

lid

ati

on

Page 8: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

�A s

et

of

data

mart

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nn

ot

deliver

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e b

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efi

ts a

s a d

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Page 9: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

�En

terp

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solid

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eff

ort

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at

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lica

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ill exp

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ecl

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sin

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0%

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art

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ata

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nd

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, M

arc

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00

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•Str

ength

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g T

rend o

f 2002

Page 10: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Data

Ware

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Page 11: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

=

DM

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Cost

s1+

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$$

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ig D

ollars

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Page 12: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Real V

alu

e t

hro

ug

h D

MC

$

Tim

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sin

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efi

tC

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uct

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Mart

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uct

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Page 13: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Har

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initi

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em M

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lytic

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oniz

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ink a

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ut

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ost

s...

Page 14: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Bu

sin

ess

Im

pact

Mo

del

Str

ate

gy

Drive

cre

atio

n o

f th

e busi

nes

s ca

se t

o

show

dec

isio

n m

aker

s th

at d

ata

mar

t co

nso

lidat

ion f

or

continued

HIP

AA

com

plia

nce

mak

es

finan

cial

sen

se.

The

focu

s is

prim

arily

on t

he

num

ber

s.

Page 15: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

•D

ata

red

undancy

•D

ata

lat

ency

•D

ata

inco

nsi

sten

cy•

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nes

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les

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lt t

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inis

trat

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ce

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s

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sin

ess

Im

pact

Mo

del -

Data

Mart

C

on

solid

ati

on

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tifi

cati

on

of

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icie

nci

es

Page 16: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Bu

sin

ess

Im

pact

Mo

del -

Data

Mart

C

on

solid

ati

on

Today

�s I

nef

fici

ency

Vs.

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orr

ow

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rom

ise

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tifies

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st

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e to

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entifica

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Page 17: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Exam

ple

of

Data

Mart

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lid

ati

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imefr

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oss

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Page 18: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Ban

k o

f A

meri

ca

�Sin

ce t

ransf

orm

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o a s

ingle

data

ware

hou

se p

latf

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of Am

eric

a has

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ost

s fr

om

$1

1

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$4

milli

on

per

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past

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r peo

ple

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ause

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ng d

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.�

-R

uss

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gh

nSen

ior

VP,

Tec

hnolo

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per

atio

ns

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k of

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eric

a

64

% R

ed

uct

ion

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co

sts

64

% R

ed

uct

ion

in

co

sts

Page 19: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Gen

uit

y

•Con

solid

ate

2 D

Ms

>Re-

host

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ubje

ct a

reas

=

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ear

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k in

8.5

Mon

ths

Page 20: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Dat

a M

art

Con

solid

atio

n:

Bes

t P

ract

ices

of

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An

alyt

ical

ly M

atu

re;

Ch

arlie

Gar

ry, M

ETA

Gro

up

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A I

T Tr

ends

20

03

: D

ata

War

ehou

sin

g -

Incl

ude

s D

ata

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t

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solid

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alys

t R

esea

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ve H

igh

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alys

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edia

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ech

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orit

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form

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rou

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a M

art

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solid

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rive

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form

atio

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rou

p: "

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a M

art

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solid

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atch

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Page 21: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Data

Mart

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nso

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•W

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Page 22: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Fo

r M

ore

In

form

ati

on

on

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http

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ww

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data

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Page 23: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Ag

en

da

•A

ctiv

e D

ata

Ware

hou

sin

g

Page 24: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Healt

hca

re B

usi

ness

Ch

allen

ges

CEO

s� s

trat

egic

iss

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hei

r co

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e nex

t five

yea

rs a

re:

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edic

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anagem

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incl

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g R

x dru

gs

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ovid

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rela

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ntr

act

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ark

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om

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usi

ness

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rmation

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gy

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rce:

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llinghas

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EO

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ey 2

001

Page 25: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

STA

GE 1

REP

OR

TIN

G

WH

AT

hap

pen

ed

?

Pri

mari

ly B

atc

hw

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-d

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STA

GE 2

AN

ALY

ZIN

G

WH

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in

Ad

Ho

c Q

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STA

GE 3

PR

ED

ICTIN

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will h

ap

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STA

GE 4

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ATIO

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LIZ

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IS h

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tin

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pd

ate

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e S

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GE 5

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REH

OU

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G

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I W

AN

T t

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ase

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Up

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eri

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ase

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eri

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cA

naly

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rmati

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luti

on

in

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W

are

ho

usi

ng

Page 26: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

�An

ope

ratio

naliz

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ompl

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Page 29: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

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ake

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isio

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ER:

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Data

War

ehousi

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AD

W)

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nte

rpri

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pplic

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gra

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EAI)

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org

aniz

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AD

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nect

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n A

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ach

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ntr

alizi

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m

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ub

ject

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on

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si

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uci

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a m

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Page 32: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

EA

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ab

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Page 33: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

EA

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mes

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nte

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chan

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m

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EA

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glu

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ith

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EA

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Page 37: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Ben

efi

ts o

f ad

din

g A

DW

in

to a

n E

AI

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hit

ect

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ata

red

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nd

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AD

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lin

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pan

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e ca

ll ce

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r agen

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mu

nic

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ark

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imely

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sin

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chu

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ate

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ula

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urr

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ll ce

nte

r agen

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Ag

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Page 41: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Med

co H

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Tech

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of al

l pat

ient

hea

lthca

re

data

>M

edco

Hea

lth d

ata

res

ided

on n

earl

y 50 leg

acy

sys

tem

s

>Tim

e an

d r

esourc

e dem

ands

for

auditin

g d

ata

for

these

sys

tem

s ex

cess

ive

•D

eci

sio

n

>D

evel

op a

n A

ctiv

e D

ata

War

ehousi

ng S

trat

egy

>M

igra

te t

o a

n A

ctiv

e D

ata

War

ehouse

Page 44: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Earl

y M

ed

co A

DW

Milest

on

es

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ed

co d

eci

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n t

o b

uild

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o f

en

ces�

aro

un

d

the m

ain

fram

e a

nd

aro

un

d t

heir

data

w

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ho

use

an

d e

lim

inate

main

fram

e c

op

ies

fen

cin

g i

n e

very

data

sto

re w

ou

ld b

an

kru

pt

the c

om

pan

y>

not

com

ply

ing w

ould

subje

ct M

edco

to

fines

for

non

-co

mplia

nce

of $100 p

er f

ield

per

inst

ance

per

day

(luck

ily

capped

at

$250,0

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er d

ay)

sin

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have

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is

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big

gor

illa in t

he

indust

ry a

nd w

ould

be

stri

ctly

scr

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y th

e fe

der

al g

over

nm

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for

com

plia

nce

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ll al

l Syb

ase,

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rmix

dat

a st

ore

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Page 45: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Med

co H

ealt

h S

olu

tio

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Str

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rovid

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Inte

gra

ted

Pati

en

t V

iew

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d R

esourc

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fici

enci

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One

sourc

e of in

form

atio

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gat

her

ed fro

m n

um

erous

touch

poin

ts,

use

d for

multip

le,

ente

rpri

se-w

ide

purp

ose

s>

Sim

plif

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om

plia

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with H

IPAA a

cces

s co

ntr

ols

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ld inef

fici

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ffic

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ere

to s

tay

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efo

re>

Bat

ch q

uer

ies

yiel

ded

data

up t

o f

our

wee

ks o

ld>

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ch q

uer

ies

took

days

to p

roce

ss>

Duplic

ated

dat

a on m

ultip

le s

yste

ms

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fter

>AD

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ield

s dat

a only

sec

onds

min

ute

s or

hours

old

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W q

uer

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take

sec

onds

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at

most

, m

inute

s to

pro

cess

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ly c

onso

lidat

ed s

ourc

e of dat

a on o

ne

au

dit

ab

leEW

sys

tem

Page 46: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Info

rmat

ion

War

ehou

se

(Ter

adat

a)

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POS

Cyc

le fi

les

(VSA

M)

POST

rans

File

s (V

SAM

)

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sync

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abas

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ing

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le

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a C

lean

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co H

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nsac

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AA

Page 47: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Med

co H

ealth

Tra

nsac

tion

Flow

Pos

t-H

IPA

A

Sour

ce o

f cla

im

data

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ll do

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licat

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MP

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MQ

Serie

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rmat

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War

ehou

se

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illio

n cl

aim

s/da

y)

Page 48: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Med

co H

IPA

A A

rch

itect

ure

HIP

AA

Com

plia

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Syst

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mon

Sec

urity

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vice

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rote

cted

Sto

re w

ith C

ripto

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ctiv

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irect

ory

Serv

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ros

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lic_k

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ased

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09 -S

mar

t Car

d - S

SL3/

TLS

MD

A (U

ML

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etad

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dust

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per,

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IPA

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xt

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ehou

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embe

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rfac

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tran

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Mas

ter

Prof

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or

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data

(R)

Met

a In

tegr

atio

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chno

logy

, Inc

.

Act

ive D

ata

Ware

hou

se

Page 49: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Less

on

s Learn

ed

•If

we h

ad

to

do

it

all

ag

ain

�C

hall

en

ges

>Com

ple

xity

and r

ichnes

s of data

cannot

be

under

estim

ate

d w

hen

w

ork

ing w

ith s

uch

a lar

ge

volu

me

>In

tern

al T

rain

ing -

nec

essa

ry d

eman

d o

n t

ime

and m

oney

>Sta

rt e

arlie

r

•They

com

bin

ed a

tech

nolo

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jum

p t

o AD

W w

ith a

n im

mov

able

date

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IPAA)

•D

esi

gn d

eci

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forc

ed b

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ate

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bein

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evis

ited.

Page 50: Saving $$$ for Continued HIPAA Compliance with Data Mart ... · PDF fileSaving $$$ for Continued HIPAA Compliance with Data Mart Consolidation and Active Data Warehousing 6th National

Th

eir

Bu

sin

ess

Use

r Lik

e I

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ho

rten

ed

cycl

e t

ime,

data

is

act

ion

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le s

oo

ner

•R

ich

ness

of

data

-m

an

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ore

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lds

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ab

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com

mo

n t

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cale

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um

mari

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co

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•C

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sist

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f d

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g b

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ort

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•D

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ou

rce f

or

dir

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co

mm

un

icati

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