Georgia DCH Medicaid Enterprise – Data Management Strategy February 2015 DCH Medicaid Enterprise Data Management Strategy Version Date Document Revision History Document Author/Reviser 1.0 11/21/2014 Draft Deliverable Submission PCG 2.0 1/22/2015 Updates based upon collective feedback PCG from DCH review 3.0 2/27/2015 Finalized and approved by DCH PCG February 2015 DCH Medicaid Enterprise Data Management Strategy INTRODUCTION ....................................................................................................................................1 DATA STRATEGIES AND USAGE ..............................................................................................................1 DCH STRATEGIC PLAN .............................................................................................................................................. 1 Mission Statement ............................................................................................................................................................. 1 Vision Statement ................................................................................................................................................................ 1 Strategies and Initiatives ................................................................................................................................................... 1 HEALTH INFORMATION EXCHANGE ............................................................................................................................... 1 DATA ANALYTICS AND BUSINESS INTELLIGENCE ............................................................................................................... 2 BACKGROUND ......................................................................................................................................3 CONTEXT OF ENTERPRISE DATA MANAGEMENT WITHIN THE MITA FRAMEWORK ................................................................... 3 PURPOSE ..............................................................................................................................................5 SCOPE ................................................................................................................................................................... 5 INFORMATION IN SCOPE FOR DCH MEDICAID ENTERPRISE DATA MANAGEMENT ................................................................... 6 AUDIENCE .............................................................................................................................................................. 7 BENEFITS OF ENTERPRISE (MEDICAID) DATA MANAGEMENT.............................................................................................. 7 Increasing MITA Maturity through Data Management across the Enterprise ..................................................................... 8 DATA GOVERNANCE AND ITS ROLE IN STANDARDS ADHERENCE .......................................................................................... 8 Examples of Data Governance Activities ............................................................................................................................ 8 Standards Adherence Fostered by Enterprise Data Management ....................................................................................... 9 DCH INFORMATION ASSET MANAGEMENT .......................................................................................... 10 COMPONENTS OF THE EDMS ............................................................................................................... 11 COMMON DATA ARCHITECTURE ................................................................................................................................ 11 ENTERPRISE MODELING OF DATA .............................................................................................................................. 11 ENTERPRISE METADATA REPOSITORY ......................................................................................................................... 12 DATA STANDARDS .................................................................................................................................................. 12 Vocabulary Data Standards.............................................................................................................................................. 13 Data Element Format Standards for Enterprise Data (Conceptual and Logical) ................................................................. 13 Data Element Format Standards for Physical Data Sets (Existing Systems/Transactions) .................................................. 13 DATA-SHARING ARCHITECTURE ................................................................................................................................. 14 REQUIREMENTS FOR ENTERPRISE DATA SHARING ARCHITECTURE TOOLS ............................................................................ 15 Enterprise Data Repository Capabilities ........................................................................................................................... 15 Graphical Diagramming Capabilities ................................................................................................................................ 15 Configuration and Licensing Capabilities .......................................................................................................................... 16 SECURITY AND PRIVACY OF ENTERPRISE DATA ASSETS .................................................................................................... 16 INFORMATION QUALITY AND PERFORMANCE STANDARDS ............................................................................................... 16 USING THE EDMS ................................................................................................................................ 17 KEY ACTIVITIES TO IMPLEMENT THE EDMS .................................................................................................................. 17 CREATING A NEW DATA ADMINISTRATION FUNCTION .................................................................................................... 17 INTEGRATING EDMS WITH EXISTING SYSTEMS ............................................................................................................. 17 IMPLEMENTING MASTER DATA MANAGEMENT............................................................................................................. 18 How is data transformed by MDM? ................................................................................................................................. 19 MDM Tools ...................................................................................................................................................................... 19 Challenges of MDM .......................................................................................................................................................... 19 SUPPORTING INFORMATION ............................................................................................................... 20 ORGANIZATIONAL MANAGEMENT ROLES AND RESPONSIBILITIES FOR EDMS ....................................................................... 21 ROADMAP FOR EDMS IMPLEMENTATION ............................................................................................ 26 APPENDIX 1: SUPPORTING DOCUMENTS ............................................................................................. 27 DCH Medicaid Enterprise Data Management Strategy APPENDIX 2: CMS OPERATING PROCEDURES FOR EDMS IMPLEMENTATION ......................................... 28 APPENDIX 3: INDUSTRY BEST PRACTICES ............................................................................................. 29 DEFINING THE CENTRALIZED DATA OWNERSHIP POLICY .................................................................................................. 29 ENTERPRISE DATA MANAGEMENT ROLES AND RESPONSIBILITIES ...................................................................................... 29 ENTERPRISE DATA MANAGEMENT MISTAKES TO AVOID ................................................................................................. 31 DCH Medicaid Enterprise Data Management Strategy 1 Introduction This Enterprise Data Management Strategy (EDMS) Document has been developed for Georgia Medicaid to further support their efforts to implement Information Architecture across the enterprise. The document sections are designed to provide the following information: Data Strategies and Usage DCH Strategic Plan An effective Enterprise Data Management Strategy will provide critical support for many of the key goals and strategies identified in the Georgia DCH Strategic Plan. The Strategic Plan clarifies the importance of the role that DCH plays in promoting health and providing quality health care to Georgians. Mission Statement The mission of the Department of Community Health is to provide access to affordable, quality healthcare to Georgians through effective planning, purchasing, and oversight. Vision Statement Georgia Department of Community Health is committed to a lean and responsive state government that promotes the health and prosperity of its citizens through innovative and effective delivery of quality health care programs. Strategies and Initiatives There are several strategies and initiatives identified in the Strategic Plan that should be considered during