IBM Health Plan Data Model is the strategic blueprint necessary to deliver comprehensive health analytics and business insights required to transform, innovate, and improve the cost, quality, and experience of healthcare. This offering is part of the IBM InfoSphere software portfolio. It includes a sophisticated set of business-centric blueprints that promote business and IT collaboration on requirements design and on IT standardization and implementation. It also delivers innovative content in healthcare payer domains and provides updated regulatory and business information.
IBM Health Plan Data Model V8.6:
- Delivers published updates to the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness and Data Information Set (HEDIS) standard
- Delivers updated clinical, technical, and healthcare performance measures content
- Helps enable data governance and standardization, operational insight, risk and compliance reporting, and performance management
In addition to delivering selected regulatory and business content, this release helps lower the total cost of ownership through integrated offerings that include tooling such as IBM InfoSphere Data Architect, hardware and software solutions such as IBM PureData™ System for Analytics, and solutions that simplify implementation and maintenance.
IBM Health Plan Data Model V8.6 features
- Enhanced HEDIS support
- HEDIS Volume 2 updates to the latest version of standard 2014
- Enhanced Continuity of Care Document (CCD)/Clinical Document Architecture (CDA) support
- Support for disease-specific outcome and measures
- Support for risk scores
- Extended support for groupers
- Support for Relative Value Units
- Support for census data (consumerism)
- Support for reinsurance, risk corridors, and risk adjustment programs (3Rs)
- Support for Accountable Care Organization (ACO) measures
- Enhanced pharmacy benefits management support
- Support for social media
Platform support
- Model extensions to support alignment with big data
- Dimensional models (validated to ensure deployment to DB2® with BLU Acceleration)
Model types and tooling support
- Multi-Model Mapper V3.5.1, IBM InfoSphere Data Architect, and integrated IBM InfoSphere Business Glossary/CA ERwin Data Modeler
- IBM InfoSphere Data Architect V9.1 and InfoSphere Business Glossary V9.1 support
Find out more here.
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