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Patient Demographic Data Quality Framework
Introduction
Data Governance
Data Quality
Data Operations
Platform & Standards
Supporting Processes
Evaluate Your Organization
Data Governance
Governance Management
Data Management Function
Communication
Business Glossary
Metadata Management
Data Quality
Data Quality Planning
Data Profiling
Data Quality Assessment
Data Cleansing and Improvement
Data Operations
Data Requirements Definition
Data Lifecycle Management
Data Provider Management
Platform and Standards
Data Standards
Data Management Platform
Data Integration
Historical Data, Archiving, and Retention
Supporting Processes
Measurement and Analysis
Process Management
Process Quality Assurance
View Summary
Clear All Field Values
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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Does data governance follow defined policies and processes?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Does data governance define and approve appropriate metrics to evaluate the effectiveness of quality improvements to patient demographic data?
Attainment
Full
Partial
None
Evidence
Notes
3.2
Is training in data governance processes available and required for participating stakeholders?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Governance Management
Official Score
Tier 1: Foundational
Governance Management foundational score
Tier 2: Building
Governance Management building score
Tier 3: Advanced
Governance Management advanced score
Process Area Score
Governance Management total 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?
Attainment
Full
Partial
None
Evidence
Notes
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?
Attainment
Full
Partial
None
Evidence
Notes
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?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Management Function
Official Score
Tier 1: Foundational
Data Management Function foundational score
Tier 2: Building
Data Management Function building score
Tier 3: Advanced
Data Management Function advanced score
Process Area Score
Data Management Function total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
How does the organization ensure that communications reach and appropriately inform the intended audience?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Does the organization provide effective communications across the entire lifecycle of patient demographic data?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Communication
Official Score
Tier 1: Foundational
Communication foundational score
Tier 2: Building
Communication building score
Tier 3: Advanced
Communication advanced score
Process Area Score
Communication total score
Business Glossary
Question
Attainment
Evidence of Attainment
Notes
1.1
Has the organization uniquely defined names and definitions for patient demographic business terms?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Is a process to define, manage, use, and maintain the business glossary defined and followed?
Attainment
Full
Partial
None
Evidence
Notes
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?
Attainment
Full
Partial
None
Evidence
Notes
3.2
Does the organization conduct impact assessments and obtain governance approval prior to implementing changes to business terms?
Attainment
Full
Partial
None
Evidence
Notes
3.3
Does the organization participate in industry groups, which address emerging standards and best practices for patient demographic business terms?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Business Glossary
Official Score
Tier 1: Foundational
Business Glossary foundational score
Tier 2: Building
Business Glossary building score
Tier 3: Advanced
Business Glossary advanced score
Process Area Score
Business Glossary total score
Metadata Management
Question
Attainment
Evidence of Attainment
Notes
1.1
Is metadata defined, stored, and accessible?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Is a metadata management process defined and followed?
Attainment
Full
Partial
None
Evidence
Notes
2.2
Are metadata categories, properties, and standards defined and followed?
Attainment
Full
Partial
None
Evidence
Notes
2.3
Is metadata used to capture data interdependencies and conduct impact analysis on potential data changes?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Is the organization following a defined plan for capturing, maintaining, and governing metadata?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Metadata Management
Official Score
Tier 1: Foundational
Metadata Management foundational score
Tier 2: Building
Metadata Management building score
Tier 3: Advanced
Metadata Management advanced score
Process Area Score
Metadata Management total score
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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Is a data requirements definition process for patient demographic data documented and followed?
Attainment
Full
Partial
None
Evidence
Notes
2.2
Are data requirements aligned with internal (or external) data model(s) and other related artifacts?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Do data requirements utilize standard definitions, ranges, and values for patient registration data?
Attainment
Full
Partial
None
Evidence
Notes
3.2
When data requirements are documented, are they mapped to the business processes that create and modify the data?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Requirements Definition
Official Score
Tier 1: Foundational
Data Requirements Definition foundational score
Tier 2: Building
Data Requirements Definition building score
Tier 3: Advanced
Data Requirements Definition advanced score
Process Area Score
Data Requirements Definition total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Do producers and consumers of patient demographic data apply consistent criteria when selecting approved authoritative sources?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Are stakeholder requirements for patient demographic data mapped and aligned to an approved data lifecycle scope?
Attainment
Full
Partial
None
Evidence
Notes
3.2
Does the organization maintain and periodically review business process to data mapping?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Lifecycle Management
Official Score
Tier 1: Foundational
Data Lifecycle Management foundational score
Tier 2: Building
Data Lifecycle Management building score
Tier 3: Advanced
Data Lifecycle Management advanced score
Process Area Score
Data Lifecycle Management total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Are data quality rules and thresholds embedded into service level agreements with data providers?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Is there a process to hold providers accountable for defects and deviations from data quality thresholds defined in the service level agreement?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Provider Management
Official Score
Tier 1: Foundational
Data Provider Management foundational score
Tier 2: Building
Data Provider Management building score
Tier 3: Advanced
Data Provider Management advanced score
Process Area Score
Data Provider Management total 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?
Attainment
Full
Partial
None
Evidence
Notes
1.2
Does the organization have plans to improve data quality through the application of quality rules?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Has the organization established policies, processes, and guidelines to implement the data quality plan?
Attainment
Full
Partial
None
Evidence
Notes
2.2
Is the data quality plan regularly monitored to evaluate progress?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Has the organization defined roles, responsibilities, and accountability for data quality governance and management of data quality processes?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Quality Planning
Official Score
Tier 1: Foundational
Data Quality Planning foundational score
Tier 2: Building
Data Quality Planning building score
Tier 3: Advanced
Data Quality Planning advanced score
Process Area Score
Data Quality Planning total score
Data Profiling
Question
Attainment
Evidence of Attainment
Notes
1.1
Has the organization profiled patient demographic data?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Has the organization defined an approach and method for profiling a data set?
Attainment
Full
Partial
None
Evidence
Notes
2.2
Are defects and anomalies identified through data profiling, and are resulting recommendations for remediation reported to stakeholders?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Has data governance approved the set of patient demographic data attributes and sources for regular profiling and monitoring?
Attainment
Full
Partial
None
Evidence
Notes
3.2
Has the organization developed standard data profiling tools, metrics, and result report templates?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Profiling
Official Score
Tier 1: Foundational
Data Profiling foundational score
Tier 2: Building
Data Profiling building score
Tier 3: Advanced
Data Profiling advanced score
Process Area Score
Data Profiling total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Are objectives, targets, and thresholds expressed in terms of selected data quality dimensions for patient demographic data attributes?
Attainment
Full
Partial
None
Evidence
Notes
2.2
Does the organization engage data governance for input on the selection and prioritization of attributes to be assessed?
Attainment
Full
Partial
None
Evidence
Notes
2.3
Do data quality assessment activities produce new or modified quality rules for patient demographic data?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Does the organization conduct periodic assessments of the selected data sets in accordance with patient demographic data quality policies?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Quality Assessment
Official Score
Tier 1: Foundational
Data Quality Assessment foundational score
Tier 2: Building
Data Quality Assessment building score
Tier 3: Advanced
Data Quality Assessment advanced score
Process Area Score
Data Quality Assessment total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Does the organization evaluate and improve business processes to prevent repeatedly cleansing the same patient demographic data?
Attainment
Full
Partial
None
Evidence
Notes
2.2
Are cleansing activities for patient demographic data evaluated according to business and technical impacts?
Attainment
Full
Partial
None
Evidence
Notes
2.3
Is a history of patient demographic data changes resulting from cleansing activities maintained?
Attainment
Full
Partial
None
Evidence
Notes
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?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Are patient data cleansing rules applied consistently across the patient demographic data lifecycle?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Cleansing and Improvement
Official Score
Tier 1: Foundational
Data Cleansing and Improvement foundational score
Tier 2: Building
Data Cleansing and Improvement building score
Tier 3: Advanced
Data Cleansing and Improvement advanced score
Process Area Score
Data Cleansing and Improvement total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Are data standards reviewed with business stakeholders and approved by data governance?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Does the organization align its data store designs, the exchange of data, and data access permissions with selected standards?
Attainment
Full
Partial
None
Evidence
Notes
3.2
Is the organization aware of and selectively implementing external standards relevant to patient demographic data?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Standards
Official Score
Tier 1: Foundational
Data Standards foundational score
Tier 2: Building
Data Standards building score
Tier 3: Advanced
Data Standards advanced score
Process Area Score
Data Standards total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Does the platform selected to manage patient demographic data support security, privacy, and access requirements?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Does the platform design and its capabilities support workflow and service levels required across the patient demographic data lifecycle?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Management Platform
Official Score
Tier 1: Foundational
Data Management Platform foundational score
Tier 2: Building
Data Management Platform building score
Tier 3: Advanced
Data Management Platform advanced score
Process Area Score
Data Management Platform total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Does the organization apply quality rules to the integration of patient demographic data from multiple sources?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Are changes to data sources, quality rules, and destinations documented and approved by all relevant stakeholders?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Data Integration
Official Score
Tier 1: Foundational
Data Integration foundational score
Tier 2: Building
Data Integration building score
Tier 3: Advanced
Data Integration advanced score
Process Area Score
Data Integration total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Does the organization retain patient demographic data according to established criteria?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Are all stakeholders who create or modify patient demographic data aware of and conforming to historical and retention policies?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Historical Data, Archiving, and Retention
Official Score
Tier 1: Foundational
Historical Data, Archiving, and Retention foundational score
Tier 2: Building
Historical Data, Archiving, and Retention building score
Tier 3: Advanced
Historical Data, Archiving, and Retention advanced score
Process Area Score
Historical Data, Archiving, and Retention total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Has the organization established a baseline of patient demographic data measurements?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Does the organization communicate results of measurement, analysis, and interpretation to all relevant stakeholders?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Measurement and Analysis
Official Score
Tier 1: Foundational
Measurement and Analysis foundational score
Tier 2: Building
Measurement and Analysis building score
Tier 3: Advanced
Measurement and Analysis advanced score
Process Area Score
Measurement and Analysis total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Are process assets such as documented processes, procedures, templates and guidelines maintained and available to all relevant stakeholders?
Attainment
Full
Partial
None
Evidence
Notes
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?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Process Management
Official Score
Tier 1: Foundational
Process Management foundational score
Tier 2: Building
Process Management building score
Tier 3: Advanced
Process Management advanced score
Process Area Score
Process Management total 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?
Attainment
Full
Partial
None
Evidence
Notes
2.1
Are selected data management processes and corresponding work products objectively evaluated against process descriptions, standards, and procedures?
Attainment
Full
Partial
None
Evidence
Notes
2.2
Are quality issues with processes and work products communicated to stakeholders and are noncompliance issues resolved?
Attainment
Full
Partial
None
Evidence
Notes
3.1
Does the organization maintain and apply standard measures and metrics to process quality issues?
Attainment
Full
Partial
None
Evidence
Notes
Process Area: Process Quality Assurance
Official Score
Tier 1: Foundational
Process Quality Assurance foundational score
Tier 2: Building
Process Quality Assurance building score
Tier 3: Advanced
Process Quality Assurance advanced score
Process Area Score
Process Quality Assurance total score