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Award Winning Data Governance 2012
1.
2012 Data Governance
Best Practice Award Award Winning Data Governance Dataversity Webinar Sponsored by: October 02, 2012 – 2pm EST 1 Copyright © 2012 Robert S. Seiner – KIK Consulting & Educational Services / TDAN.com
2.
2012 Data Governance
Best Practice Award Highlights of the Award Third Annual Award Call for Submissions 4Q2011 Sponsored by: Distinguished Panel of Specialists & Practitioners 10 Submissions! Criteria & Evaluation Winner Announced in May of 2012 2 Copyright © 2012 Robert S. Seiner – KIK Consulting & Educational Services / TDAN.com
3.
2012 Data Governance
Best Practice Award Criteria & Evaluation Sponsorship, Planning & Framework Business Requirements & Business Participation Sponsored by: Data Governance Program Structure People, Program Team & Data Governance Roles Measurements Program & Success Stories 3 Copyright © 2012 Robert S. Seiner – KIK Consulting & Educational Services / TDAN.com
4.
2012 Data Governance
Best Practice Award Requirement Weight Describe the business requirements for Data Governance at your organization. Describe the approach used to define, develop and deliver your Data Governance Program. Describe the length of time the solution has been in place and the incremental steps taken. Sponsored by: Describe the scale of the solution (i.e. enterprise, business unit) and whether this will change. Describe the overall business impact/benefits from Data Governance and return on objective. Describe the measurable return on investment for your Program and how the measures are used. Describe the population and breadth of business and technical community being served by the Program. Describe the innovative uses of the Data Governance 4 Program and the problems that have been solved. Copyright © 2012 Robert S. Seiner – KIK Consulting & Educational Services / TDAN.com
5.
2012 Data Governance
Best Practice Award Judging Panel Robert S. Seiner – KIK Consulting & TDAN.com Martha Dember – EMC Corporation Sponsored by: Elizabeth Davis – International Finance Corp Michelle Koch – Sallie Mae (past winner) David Plotkin – Independent Anne Marie Smith, Ph.D – Yankee Consulting Gwen Thomas – Data Governance Institute 5 Copyright © 2012 Robert S. Seiner – KIK Consulting & Educational Services / TDAN.com
6.
2012 Data Governance
Best Practice Award Submissions Finalists Data BC LDS Church NCCI Express Scripts Sponsored by: SEI Conagra Shell Lexmark Walgreen Maybank 6 Copyright © 2012 Robert S. Seiner – KIK Consulting & Educational Services / TDAN.com
7.
2012 Data Governance
Best Practice Award Winner Express Scripts Sponsored by: Pat Branum, Eileen Koski Presentation – Wednesday, December 5 at 1:15pm Are You Certifiable? Developing a Data Steward Certification Program 7 Copyright © 2012 Robert S. Seiner – KIK Consulting & Educational Services / TDAN.com
8.
Award Winning Data
Governance Data Governance Professional Organization Webinar October 2, 2012 Pat Branum, Eileen Koski Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 8
9.
Express Scripts Overview
Pharmacy benefit manager covering approximately 100 million members Helping patients make better decisions for healthier outcomes Express Scripts Technology & Innovation Center We apply behavioral science to clinical Key figures research to drive down costs, eliminate More than 30,000 employees pharmacy-related waste and improve health outcomes About 100 million members More than 3,000 clients At Express Scripts, we work 1.4 billion adjusted Rx in 2012 to make the use of prescription drugs safer and more affordable Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 9
10.
The Express Way
Who we are Act with integrity Demonstrate mutual respect Work with passion How we work Drive alignment Pursue collaboration Champion the commitment to service Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 10
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Why Does Data
Matter? “Data is the new oil.” Ann Winblad, investor and senior partner at Hummer-Winblad Response to host Joe Kernan’s question, “What is the next really big thing?” on CNBC Squawk Box segment, “The Pulse of Silicon Valley,” 2/22/12 Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 11
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Why Does Data
Matter to Us? Data surrounds us It comes from many sources It is used to drive our business Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 12
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Why Do We
Need Data Governance? General Data is a key corporate asset Complex organizations have operational overlap and data-related heterogeneity and incompatibilities ESI-Specific Patients, providers and clients depend on our operational excellence Operations, products and services are data-driven and data-dependent PBMs are highly regulated, with compliance requirements, such as HIPAA Need to coordinate data across systems and subsidiaries Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 13
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Value Proposition for
Data Governance Predicted Benefits Risk reduction Greater trust in data quality for use in decision making Cost reduction via improved efficiency Higher actual return on technology investments Increased value and utility of data assets Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 14
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Return on Investment
for Data Governance Observed Benefits In 2011, total cost avoidance attributable to improved data quality and data governance exceeded: $20 million Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 15
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From Foundation To
Present Our Data Governance journey began over 10 years ago with the implementation of a Data Quality Program Recognized opportunities to improve data related processes Launched MDM and Enterprise Data Governance Core team established Charter, Mission, Vision, Goals & Scope Built & implemented iteratively Functioning Program Recognize the Data Quality Launch MDM Data Core Team Functioning Importance of Program & Data Stewardship Established Program Data Quality Created Governance Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 16
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Program Timeline Overview Importance
of Data Quality Expand DS Roster & Data Stewardship Certification Data Program Responsibilities Launch Business Data Model & Build out MDM MDM User Stories Scope, Charter, Organization, Launch Data Mission, Roles & Governance Vision, Goals Responsibilities Sponsors , Intranet Communications Partners & Site, Strategy Stakeholders Metrics Build out Refine Membership Organization & Services & Roles Data Quality Program Data Governance Program Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 17
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Data
Governance Scope – Data Data Access & Use Quality and Beyond Data Governance MDM, Data Data Quality Standards, Meta Data Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 18
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Mission & Vision
Enterprise Data Governance Mission: To protect and improve our data assets Enterprise Data Governance Vision: A culture that values data enterprise wide and therefore ensures the security and integrity of all data assets, data uses and data related processes while maximizing the value and utility of our data to support information driven innovation and services Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 19
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Goals Overall Goal:
Changes in behaviors and beliefs so sound data practices become integral to our culture, communications and operations Specific Goals: Accountability and responsibility for data Protection against misuse / inappropriate use of data Increasing the value of data assets Monitor data and related processes Enable consistent, enterprise wide definition and management of data Provide ready access to information about the Program Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 20
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The Three Pillars
of Our Program Data Quality Data Governance Data Stewardship Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 21
22.
Data Quality Program
Monitor ongoing quality of data brought under Data Governance Processes and policies Promote best practices Monitor and escalate data quality issues Monitor certification of and by Data Stewards Foster strong relationships with the business and IT Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 22
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Data Governance Program
Program framework - methodology, reporting, communications Roles and responsibilities Communications Planning and administration of overall program Track and report progress, and metrics Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 23
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Data Stewardship
Operational component of data governance Key members of the data governance team who actively apply the principles and policies of data governance to the maintenance and use of data throughout the enterprise Four primary responsibilities: Data definitions, meta-data, data quality standards Monitoring ongoing data quality Review processes that create data, root cause analysis, improvements Identify and promote best practices Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 24
25.
Organizational Model Confidential and
Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 25
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Organizational Highlights
Business Ownership Assures solid business focus and business commitment Chief Data Officer Not yet a common role - speaks to organization’ strong commitment to data quality & integrity Data Governance & Data Stewardship Community Basis for collaboration, support and communication Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 26
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Program Highlights
Core program informed by: Industry best practices Expert consulting support – UDM, EMC2, IBM Highlights Relationships Data Stewardship Customization for our environment Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 27
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Relationships Confidential and Proprietary
Information © 2012 Express Scripts Holding Company. All Rights Reserved. 28
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Obtaining & Retaining
Sponsorship Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 29
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Data Stewardship -
Certification Formal program to assure: Data Stewards armed with the training they need Internal customers recognize Data Stewards’ qualifications Data Stewards share a common vocabulary and understanding of basic concepts Courses required, recommended or optional In person training to foster creation of a Data Stewardship Community Certified 25 Data Stewards Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 30
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Data Stewards Certification
Program Required Training * Recommended Optional Training Training 1. Introduction to Data 1. Business Rules 1. Developing SOPs and Stewardship documentation Policies 2. Developing win-win 2. Project data 2. Master Data relationships governance Management 101 3. Writing data definitions certification 3. Six Sigma (White 4. Data profiling 3. Process Modeling Belt) 5. Metrics and measures 101 4. Project management definitions and reporting 5. Advanced leadership 6. Issue analysis and training resolution including root 6. Six Sigma (Green Belt) cause analysis, process 7. Data Modeling 101 improvement (partial 8. Six Sigma (Black Belt) offsite) * All required and highlighted courses delivered to current Enterprise Data Stewards Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 31
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Our team on
graduation day! Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 32
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Customization for our
Environment Study industry best practices Adopt and adapt! Not “One Size Fits All” Learn from what worked for others, but don’t be afraid to customize Examples from our experience “90-Day Sprints” Data use & Limitations policies and SOPs Custom data definitions guidelines Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 33
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The Fruits of
our Labor Benefits & ROI Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 34
35.
Program Benefits Risk
Reduction •HIPPA compliance, licensure validation, avoid inappropriate data use Cost avoidance/reduction Improved patient safety & reduced patient costs Example - Assignment to TRCs & Gaps in Care closure “Trifecta” - Benefits to client, company and patient Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 35
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TRC Assignment &
Gaps in Care Closure Therapeutic Resource Centers (TRCs) provide specialized pharmacists to support patients with complicated conditions TRCs strive to increase adherence and close “Gaps in Care” – patients not receiving optimal treatment for their condition Example: • Prescription correct for diagnosis, but based on missing refills, patient may not be compliant Gaps associated with increased risk of disease progression and complications TRCs help close gaps by working with patients and physicians to understand and address issues leading to non-compliance Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 36
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TRC Assignment &
Gaps in Care Closure TRC assignment based on pharmaceutical claims records and proprietary algorithms Relies on patient matching to combine all relevant information Improvements from Data Governance and MDM help assign more patients to TRCs One year estimate - cost of Gaps in Care: $20 million to $110 million in estimated avoided total healthcare costs Patients: disease progression, complications, financial liabilities/cost share Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 37
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ROI – The
“Trifecta” • Better adherence = fewer gaps in care = reduced hospitalizations and disease progression • TRCs can improve adherence if they can match patients data • MDM and Data Governance help assign more patients to a TRC • Result = Benefit “Trifecta”: • Patient - Clinical improvements • Client - Cost avoidance • ESI - Prescription revenues Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 38
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Critical Keys to
Success Obtaining and retaining sponsorship Identifying best practices and learning from experts Business orientation – focusing on tangible business needs Inclusion & Collaboration – involving all key stakeholders Motivating, equipping and supporting the team Demonstrating & sharing successes Communications, communications, communications! Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 39
40.
The Path Forward
Supporting the challenge of our new company Combining our strengths Forging our path together for the future Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 40
41.
Acknowledgements:
EMC2 Martha Dember April Reeve Glenn Thomas Universal Data Models Len Silverston Paul Agnew Sunil Soares, IBM Zahid Naeem, InfoTrellis Additional Friends and Helpers: Michel Koch, Sallie Mae Pablo Riboldi, LDS Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 41
42.
Questions? Confidential and Proprietary
Information © 2012 Express Scripts Holding Company. All Rights Reserved. 42
43.
For further information
please contact: Inderpal Bhandari, Chief Data Officer and Vice-President Healthcare Data and Analytics 201-269-6643 Inderpal_Bhandari@Medco.com Patricia Branum, Vice-President Data Quality, Chief Data Steward 215-283-5133 Patricia_Branum@xpress-scripts.com Eileen Koski, Director of Data Governance & Data Stewardship 201-269-4069 Eileen_Koski@xpress-scripts.com Elisa Pirylis, Sr. Project Manager, Healthcare Data and Analytics 201-269-4655 Elisa_Pirylis@express-scripts.com Joe Federer, Senior Director, PharmacoAnalytics 314-872-0487 JFederer@express-scripts.com Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 43
44.
Thank You Confidential and
Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 44
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