Health Plan Data Integration
HDI works with Health Plans as a data acquisition partner. Plans routinely utilize data from numerous external vendors, including other health plans, external PBMs, HRA vendors, laboratories, etc. Plans need to integrate these disparate datasets into their data warehouses for a variety of operational and management uses. HDI has a three-step process for this function, which is extremely flexible and scalable and allows for rapid implementation of new engagements.
HDI has a large and growing library of conversion routines for many of the external vendors, which we use to convert the external data into a standard, proprietary format. We have processed data from a significant number of the large Health Plans, PBMs, Laboratories, Wellness vendors, Care Management and specialty carve-out companies. We also can develop custom procedures for unique data sets or special applications.
HDI utilizes a standard series of proprietary validation and editing routines to cleanse and prepare the data. The data editing and cleansing process is a comprehensive and standardized sequence of validation and editing steps, designed to identify and correct data inconsistencies and errors. All key variables are identified, validated, compared against expected values and corrected as appropriate. The data quality process is extremely robust and results in a comprehensive validation report, which gives immediate insights into the data and its contents.
HDI works with the Plans to develop a standard data layout for all externally sourced incoming data. Once the data has passed through the standard HDI editing process, the data is converted to the Plan specified format, and all external data coming in via this process conforms to the Plan's requirements. This model creates consistency and ensures data integrity for both present and future engagements.
Care Management Company Data Integration
HDI performs similar data functions for a variety of Care Management organizations. These organizations are required to integrate external data sources into their operations for Care Management and for the demonstration of the value of their services. HDI follows the same three-step process to assist these organizations, and to allow them to focus on the areas where they add the most value.
Provider Data Integration
HDI is working with a variety of provider organizations and consultants to develop approaches for data sharing in the provider environment. The proliferation of a large number of different EMR systems and the fragmentation of operational data in the provider environment offers a unique data integration opportunity.