Patient Demographic Data Quality Framework

Governance Management

Question

Attainment

Evidence of Attainment

Notes

1.1 Is a data governance structure defined and established with roles, responsibilities, and accountability assigned to all supplying and consuming business units involved in activities and decisions about patient demographic data?
2.1 Does data governance follow defined policies and processes?
3.1 Does data governance define and approve appropriate metrics to evaluate the effectiveness of quality improvements to patient demographic data?
3.2 Is training in data governance processes available and required for participating stakeholders?
Process Area: Governance Management Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Management Function

Question

Attainment

Evidence of Attainment

Notes

1.1 Has the organization designated a resource responsible for standards, processes, and communication about patient demographic data?
2.1 Has the organization established a data management role responsible for ensuring the continuity and integration of key activities for managing patient demographic data?
3.1 Has the organization leveraged the data management function to create standard processes for the management of patient demographic data with governance engagement and approval?
Process Area: Data Management Function Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Communication

Question

Attainment

Evidence of Attainment

Notes

1.1 Does the organization have a communications plan for informing internal and external stakeholders about policies, processes, procedures, and decisions impacting patient demographic data?
2.1 How does the organization ensure that communications reach and appropriately inform the intended audience?
3.1 Does the organization provide effective communications across the entire lifecycle of patient demographic data?
Process Area: Communication Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Business Glossary

Question

Attainment

Evidence of Attainment

Notes

1.1 Has the organization uniquely defined names and definitions for patient demographic business terms?
2.1 Is a process to define, manage, use, and maintain the business glossary defined and followed?
3.1 Does data governance for the business glossary process stipulate the use of business terms in system requirements and the mapping of business terms to implemented data stores?
3.2 Does the organization conduct impact assessments and obtain governance approval prior to implementing changes to business terms?
3.3 Does the organization participate in industry groups, which address emerging standards and best practices for patient demographic business terms?
Process Area: Business Glossary Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Metadata Management
Data Requirements Definition

Question

Attainment

Evidence of Attainment

Notes

1.1 When data requirements are developed, are they expressed using standard business terms consistent with the organization’s business glossary?
2.1 Is a data requirements definition process for patient demographic data documented and followed?
2.2 Are data requirements aligned with internal (or external) data model(s) and other related artifacts?
3.1 Do data requirements utilize standard definitions, ranges, and values for patient registration data?
3.2 When data requirements are documented, are they mapped to the business processes that create and modify the data?
Process Area: Data Requirements Definition Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Lifecycle Management

Question

Attainment

Evidence of Attainment

Notes

1.1 Is the patient demographic data lifecycle for key business processes defined and understood by stakeholders?
2.1 Do producers and consumers of patient demographic data apply consistent criteria when selecting approved authoritative sources?
3.1 Are stakeholder requirements for patient demographic data mapped and aligned to an approved data lifecycle scope?
3.2 Does the organization maintain and periodically review business process to data mapping?
Process Area: Data Lifecycle Management Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Provider Management

Question

Attainment

Evidence of Attainment

Notes

1.1 Has the organization applied requirements for patient demographic data to data sourcing specifications and agreements?
2.1 Are data quality rules and thresholds embedded into service level agreements with data providers?
3.1 Is there a process to hold providers accountable for defects and deviations from data quality thresholds defined in the service level agreement?
Process Area: Data Provider Management Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Quality Planning

Question

Attainment

Evidence of Attainment

Notes

1.1 Are all relevant stakeholders involved in determining data quality objectives and success criteria for patient demographic data?
1.2 Does the organization have plans to improve data quality through the application of quality rules?
2.1 Has the organization established policies, processes, and guidelines to implement the data quality plan?
2.2 Is the data quality plan regularly monitored to evaluate progress?
3.1 Has the organization defined roles, responsibilities, and accountability for data quality governance and management of data quality processes?
Process Area: Data Quality Planning Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Profiling

Question

Attainment

Evidence of Attainment

Notes

1.1 Has the organization profiled patient demographic data?
2.1 Has the organization defined an approach and method for profiling a data set?
2.2 Are defects and anomalies identified through data profiling, and are resulting recommendations for remediation reported to stakeholders?
3.1 Has data governance approved the set of patient demographic data attributes and sources for regular profiling and monitoring?
3.2 Has the organization developed standard data profiling tools, metrics, and result report templates?
Process Area: Data Profiling Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Quality Assessment

Question

Attainment

Evidence of Attainment

Notes

1.1 Does the organization engage business representatives to determine fitness for purpose and quality criteria for patient demographic data?
2.1 Are objectives, targets, and thresholds expressed in terms of selected data quality dimensions for patient demographic data attributes?
2.2 Does the organization engage data governance for input on the selection and prioritization of attributes to be assessed?
2.3 Do data quality assessment activities produce new or modified quality rules for patient demographic data?
3.1 Does the organization conduct periodic assessments of the selected data sets in accordance with patient demographic data quality policies?
Process Area: Data Quality Assessment Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Cleansing and Improvement

Question

Attainment

Evidence of Attainment

Notes

1.1 Are data cleansing requirements derived from the results of data profiling or data quality assessments?
2.1 Does the organization evaluate and improve business processes to prevent repeatedly cleansing the same patient demographic data?
2.2 Are cleansing activities for patient demographic data evaluated according to business and technical impacts?
2.3 Is a history of patient demographic data changes resulting from cleansing activities maintained?
2.4 Does the organization have a policy and processes to ensure that patient demographic data is modified at the point of origination in accordance with quality rules?
3.1 Are patient data cleansing rules applied consistently across the patient demographic data lifecycle?
Process Area: Data Cleansing and Improvement Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Standards

Question

Attainment

Evidence of Attainment

Notes

1.1 Are data standards, such as data representations, security, access, and provisioning, defined and followed?
2.1 Are data standards reviewed with business stakeholders and approved by data governance?
3.1 Does the organization align its data store designs, the exchange of data, and data access permissions with selected standards?
3.2 Is the organization aware of and selectively implementing external standards relevant to patient demographic data?
Process Area: Data Standards Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Management Platform

Question

Attainment

Evidence of Attainment

Notes

1.1 Has the organization developed data requirements and quality rules for the selection, construction, or enhancement of its data management platform?
2.1 Does the platform selected to manage patient demographic data support security, privacy, and access requirements?
3.1 Does the platform design and its capabilities support workflow and service levels required across the patient demographic data lifecycle?
Process Area: Data Management Platform Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Data Integration

Question

Attainment

Evidence of Attainment

Notes

1.1 Do stakeholders participating in collective decisions about the integration of patient demographic data follow a standard approach based on data needs and priorities?
2.1 Does the organization apply quality rules to the integration of patient demographic data from multiple sources?
3.1 Are changes to data sources, quality rules, and destinations documented and approved by all relevant stakeholders?
Process Area: Data Integration Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Historical Data, Archiving, and Retention

Question

Attainment

Evidence of Attainment

Notes

1.1 Is historical patient demographic data available to support patient identity integrity?
2.1 Does the organization retain patient demographic data according to established criteria?
3.1 Are all stakeholders who create or modify patient demographic data aware of and conforming to historical and retention policies?
Process Area: Historical Data, Archiving, and Retention Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Measurement and Analysis

Question

Attainment

Evidence of Attainment

Notes

1.1 Has the organization developed measurement objectives for quality improvements to patient demographic data?
2.1 Has the organization established a baseline of patient demographic data measurements?
3.1 Does the organization communicate results of measurement, analysis, and interpretation to all relevant stakeholders?
Process Area: Measurement and Analysis Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Process Management

Question

Attainment

Evidence of Attainment

Notes

1.1 Does the organization address improvement opportunities for business processes that impact patient demographic data?
2.1 Are process assets such as documented processes, procedures, templates and guidelines maintained and available to all relevant stakeholders?
3.1 Are processes periodically reviewed for effectiveness based on an evaluation of costs, benefits, and other factors in order to incorporate suggestions for positive changes?
Process Area: Process Management Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score
Process Quality Assurance

Question

Attainment

Evidence of Attainment

Notes

1.1 Are issues with data management processes and work products identified and addressed in the context of the entire patient demographic data lifecycle?
2.1 Are selected data management processes and corresponding work products objectively evaluated against process descriptions, standards, and procedures?
2.2 Are quality issues with processes and work products communicated to stakeholders and are noncompliance issues resolved?
3.1 Does the organization maintain and apply standard measures and metrics to process quality issues?
Process Area: Process Quality Assurance Official Score
Tier 1: Foundational
Tier 2: Building
Tier 3: Advanced
Process Area Score