BEST PRACTICES: MULTI-DOMAIN MDM TO DRIVE BUSINESS VALUE THROUGH INNOVATION

The healthcare industry is in the throes of a transformation that some consider the most momentous since the introduction of Medicare and Medicaid in the 1960s and HMO’s in the 1970. The inexorable move towards consumer-driven healthcare (CDH), driven by the ever-escalating cost of care combined with increased utilization, is forcing health plans to rethink survival and growth strategies. A growing trend towards the consumerization of health care is ushering in a new era of agility and competitiveness that requires health plans to rapidly evolve and innovate in provider management and member outreach – both of which begin with a “mastery” over provider and member data.

At a leading healthcare company, an upfront partnership with business and unwavering focus on the business value of MDM has led to an innovative yet challenging single-instance, multi-domain MDM implementation – multiple but closely related entities mastered together in a single hub – that provided measurable business benefits even before going live. This case study describes the critical success factors behind the eventful journey of the MDM implementation from concept to reality, including:

• Creating an innovative data/solution architecture that embeds Data Governance principles 
• Optimizing the partnering relationship with Systems Integrators and MDM solution vendors 
• Reducing project risk and demonstrating business value through proof-of-concept