Data Integrity and Governance - WSHIMA...XMS MGMT-RMM-01.vanclinic .int CTX_Info Logon_Script _Data...

WashingtonStateHealthInforma3onManagementAssocia3onLynnwoodWashington4/30/2016

AndyTauberMCSE,MCDBADataArchitect

Data Integrity and Governance What should we do and how do we get there?

3/25/16 WSHIMAAnnualConference2016 1

Snapshot of The Vancouver Clinic

• Physician-owned and governed, professionally managed • Founded 1936 • 265 providers • 990 employees • 5 sites


Data Growth

• Byte = 1 Character • Kilobyte = 1,000 Characters • Megabyte = 1,000,000 Characters • Gigabyte = 1,000,000,000 Characters • Terabyte = 1000 Gigabytes (1 Trillion bytes) • Petabyte = 1000 Terabytes (1015) • Exabyte = 1000 Petabytes (1018) • Zetabyte = 1,000,000,000 Terabytes (1021) 3/25/16 WSHIMAAnnualConference2016 3

Data Growth


Data Growth in Healthcare


Cost of Bad Data


The Legal Climate

EMRs can hurt physicians during lawsuits


Testimony

•  Plaintiff attorney: Doctor, if the emergency renal consult was called in at 11:30, why did you wait until 6 p.m. to see the patient, during which time his kidneys became severely damaged?

•  Doctor: I did see the patient within 30 minutes.

•  Plaintiff attorney: Where does it show that in the chart?

•  Doctor: Uh … it doesn’t, I guess. I saw the patient but wrote the note later.

•  Plaintiff attorney: So you claim you saw this critically ill patient for 30 minutes, spent one hour evaluating him, but did not document your findings for another six hours?


Horror Stories

ThisSSNisalreadyinthesystem. Justadd1toit.


Our Process

• Data Flow • Data Inventory

•  Servers •  Databases •  PHI

• Report Inventory • Current State Assessment

•  MaturityModelAssessment•  MaturityModel

• Define Governance Structure


Our Process

• Training •  Management •  DG Council Members •  Data Stewards

• Define Subject Area Priorities • Begin Implementation • Monitor


Maturity Model Assessment - Foundational


Maturity Model Assessment - Project


Maturity Model Assessment


Maturity Model


Structure BoardofDirectors

DataOwners


Current Structure


Structural Evolution


Documents

• Charter•  Vision•  MissionStatement•  Capabili3es•  RolesandResponsibili3es

•  DataGovernanceChecklist•  MajorItemsNeeded


Documents

•  JobDescrip3ons•  DataSteward•  DataOwner•  DataCustodian•  DataGovernanceCouncil


Framework

DataGovernance

Discover

Define

Apply

Measureand

Monitor

Discover •  Data Discovery •  Data Profiling •  Data Inventories •  Process Inventories •  CRUD Analysis •  Capabilities Assessment

Measure and Monitor •  Proactive Monitoring •  Operational Dashboards

•  Reactive Operational DQ Audits •  Dashboard Monitoring/Audits

•  Data Lineage Analysis •  Program Performance •  Business Value/ROI

Define •  Business Glossary Creation •  Data Classifications •  Data Relationships •  Reference Data •  Business Rules •  Data Governance Policies •  Other Dependent Policies •  Key Performance Indicators

Apply •  Automated Rules •  Manual Rules •  End to End Workflows •  Business IT Collaboration


Training

• Executive Team • Whatisit?•  GovernanceaspartoftheSystem(manualorcomputer)DevelopmentLifecycle

•  Se\ngDataGovernancePriori3es

• Data Governance Council • Whatisit?•  RolesandResponsibili3es


Training

• DataStewards•  Responsibili3es•  Tools•  Empowerment


Goals

•  StandardizeDataDefini3ons•  ImproveDataQuality•  Enablebeaerdecision-making•  Reduceopera3onalfric3on•  Protecttheneedsofdatastakeholders•  Trainmanagementandstafftoadoptcommonapproachestodataissues•  Buildstandard,repeatableprocesses•  Reducecostsandincreaseeffec3venessthroughcoordina3onofefforts•  Ensuretransparencyofprocesses3/25/16 WSHIMAAnnualConference2016 25

Ini6al Steps

• DataInfrastructureMap• DataInventory• ReportInventory• DataFlow


Database Infrastructure

COBAS.vanclinic.int

BIORAD_QCDO

E-CLRTY-NPRD-01.vanclinic.int

Metric_info TVCApplications

BusinessObjectsCMS Clarity Clarity_Stage

E-Clrty-PRD-01.vanclinic.int

Reportserver ReportServerTempDB

Metric_info

BusinessObjectsCMS Clarity Clarity_Stage

TVCApplications Reportserver ReportServerTempDB

E-SQL-PRD-01.vanclinic.int

Interconnect_ErrorLogging SystemPulse

Hera.vanclinic.int

CitrixFarm

ContinuumDB

Microtel

MicroTelCall

MicroTelTemp

PFPR

Production Providers SurgSched

MGMT-ANLYST-01.vanclinic.int

ClinicOperations

HL7

JUMP

OnBaseApps

MGMT-HLPS-01.vanclinic.int

HS2000CS Reportserver ReportServerTempDB

MGMT-METASYS-01.vanclinic.int

JCIAuditTrails JCIEvents JCIHistorianDB

JCIItemAnnotation MetasysIII MetasysRAPTranslation

MetasysTree

ReportServer ReportServerTempDB VancouverClinic2

XMS

MGMT-RMM-01.vanclinic.int

CTX_Info Logon_Script_Data Nexpose_export

Server_Data VeeamOne XTrans

MGMT-VBR-02.vanclinic.int

VeeamBackup VeeamBackupReporting

MGMT-WIKI-01.vanclinic.int

Bdc_Service_DB_2764d0b466ad4b64abae3a38c4bfc80f

CBOWiki CBOWikiTest ISWiki

SharePoint_AdminContent_a4c3289c-ccd9-445a-b2e9-63020e4f154e

SharePoint_Config TestWiki TrainingWiki

WSS_Content_ISOpsCentral WSS_Logging WSS_Search_IsOpsCentral

MS-AUD-01.vanclinic.int

eTona NOAHDatabaseCore

MS-CGMS-10.vanclinic.int

ACCUCHEK_1 ACCUCHEK360_SDB

MS-GMED-01.vanclinic.int

gCare2 gCareMuItumDrug gPortal

MS-LYNC-01.vanclinic.int

cpsdynlis

mgc rsconfig

rsdyn rtcab

rtcshared

rtcxds

rtc

rtcdyn

MS-PAPER-01.vanclinic.int

PaperSave

MS-SCM-01.vanclinic.int

sgmaster sgvault

MS-SQL-01.vanclinic.int

CINET CitrixProvisioningServicesTVC CitrixXenAppFarmTVC

CitrixXenAppFarmTVC_ConfigurationLogging sgcredentvault CredentAudit

CredentError CredentScreenDefinition CredentSecurity dvimages

DYNAMICS FCTest ForecasterLLC ForecasterTVC Imc_final2

obdat32

OPS OPS_Backup

ProvisioningServer6FarmTVC ReportServer ReportServerTempDB

SharePoint_AdminContent_c5832508-33e7-4909-9e80-3694e5d9ec37 SharePoint_AdminContent_c5832508-33e7-4909-9e80-3694e5d9ec37

SharePoint_Config

SharePoint_Config_GP

TEST

TVCApplications TVCXenAppFarm

TVCXenAppFarm_ConfigurationLogging

VCB

VCI WSS_Content

WSS_Content_3cf84eafff3d49c387aaaf12e7fc4b42 WSS_Content_935541ee3df149e1a1319237a5fdf070 SharePoint_Config WS_Content_BP

WSS_Content_ebc46f7573624e9e942bc5df0fb3d8ffWSS_Content_ff5e754c8ea94110bf865f6a0c338755

WSS_Epic_Content WSS_HIPPA_Content

WSS_ISProjects_Content

WSS_Mcomp_Content WSS_NSST_Content

WSS_PatientAccounts

WSS_Search

MS-SQL-02.vanclinic.int

BESReporting BFEnterprise HCAudit

HCxaccess MSMDT ReportServer

ReportServerTempDB TEMTRC TPMFOSD

MS-SQLBI-01.vanclinic.int

GPWarehouse AdventureWorks AdventureWorks2008 AdventireWorksDW AdventureWorksDW2008

AdventureWorksLT AdventureWorksLT2008 MisysBLOBExportStaging MisysConversionStaging

ReportServer ReportServerTempDB SharePoint_AdminContent_beeb3b35-8d50-4bf0-acac-8e47d38b345c

SharePoint_Config TVCAdvAccess TVCAnalytics TVCContracting TVCDocuments TVCFinancial

TVCMarketing TVCMisysArch TVCNew TVCPaperCharts TVCPlanning

TVCPopulation TVCProviderProduction TVCStaging TVCStorageMan

agementTVCVision

WSS_Content_SSRSTest WSS_Content_TVC_BI_Process WSS_Content_TVC_BI_SSRSWSS_Search_MS_SQLBI_01

MS-SQL-CLST1-N1.vanclinic.int

ACCESSCONTROL CitrixTVCXenDesktopPVS CitrixXMM HCXAAuditnprd

HCXAAuditprd HCXAnprd HCXAPCardnprd HCXACardprd

HCXAPrd HPDevMgr NuanceMC NuancePODB

ReportServer ReportServerTempDB sem5

MS-SQL-CLST1-N2.vanclinic.int

ACCESSCONTROL CitrixTVCXenDesktopPVS CitrixXMM HCXAAuditnprd

ReportServer ReportServerTempDB sem5

HCXAAuditprd HCXAnprd HCXAPCardnprd HCXACardprd

HCXAPrd HPDevMgr NuanceMC NuancePODB

SUSDB TVC_AppvManagement_PRD TVC_AppvReporting_PRD

TVC_INFRASTRUCTURE_vCenter55 TVC_INFRASTRUCTURE-vCenter55UpdateMgr

TVC_MDM

TVC_Nexpose

TVC_PVS_TST

TVC_PVS_XA

TVC_PVS_XD

TVC_VDI_vCenter55

TVC_XenDesktopMonitoring

MS-SYNTRAC-01.vanclinic.int

SYNtrac

MS-TELCOR-01.vanclinic.int

NWS POC QMLReports

MS-WDS-01.vanclinic.int

Northwind TVCInv

MS-WIKI-01.vanclinic.int

Confluence TVCApplications

MS-WIKI-NPRD-01.vanclinic.int

Confluence

ON-SQL-NPRD-03.vanclinic.int

OnBaseTST TVCOnBaseTSTQueries

ON-SQL-NPRD-N1

OnBasePRD TVCOnBasePRDQueries

ON-SQL-PRD-N2.vanclinic.int

OnBasePRD TVCOnBasePRDQueries

TLCM-LIC-01.vanclinic.int

MA4000

TLCM-QWRX-01.vanclinic.int

QueWorx

TVCDatabaseInventory

Credent

E-cog-nprd-01

Cogito

DG-SQL-01

PHI II Confidential


Flow of Informa6on


What We Did

• Don’tBoiltheOcean(Bitesizedchunks)• Priori3zeSubjectAreas

•  Pa3entDemographics•  ProviderData•  InsuranceandPa3entAccounts

•  Iden3fyDataOwners•  Iden3fyDataStewards


Organiza6onal Changes

•  Ini3ally•  PSRsreportedtodepartmenttheyworkedin.•  Loyaltywastodepartment.•  Operatedasindependentislands.

• Now•  AtleastonePSRSupervisorineachloca3on•  PSRSupervisorreporttoDataOwner•  PSRSupervisorsheldaccountablefordataquality


Empowerment


Process

• WeeklyMee3ng•  Aaendees

•  DataStewards•  DataArchitect•  Trainer•  EPICAnalystsasneeded•  SecurityandComplianceasneeded

•  Training• Nowwemeetmonthly


Process

•  Iden3fydataissues•  Inconsistentprocedures•  Excep3onshandling•  EPICissues

•  HardStops•  ScreenDesign•  Reports

•  TimeConsumingIssues


Mee6ng Process

•  Priori3ze•  Discussion•  Research•  Nego3a3on•  Outcome

•  Policy•  Procedure•  SohwareChange


Accomplishments • NolongercollectSocialSecurityNumbers• Pa3entIden3tyPolicyandProcedure• Don’tmakeupdatapolicy•  Employeeupdatetomedicalrecordpolicy


Next Steps

• Definemeasurementstomonitorsuccess• Automatemanualprocesses•  Iden3fyaddi3onalsubjectareas• Con3nuetransi3ontoadatacentricculture

•  Ini3alandongoingtraining•  Communica3on•  Measure


Tools


Tools

•  Thetoolisnotimportant• COMMUNICATIONIS


What It Takes To Get This Done


COMMITMENT Defined

Involved Commiaed

ThinkoftheSuccessofthisBreakfast


Ques3ons


Data Integrity and Governance - WSHIMA...XMS MGMT-RMM-01.vanclinic .int CTX_Info Logon_Script _Data...

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