IBM Health Plan Data Model V8.2 helps accelerate development of health care industry solutions


Document Number: 897/ENUS209-457
Date Updated: 20091215

Summary:
AT A GLANCE The Health Plan Data Model enables health plans to: o Measure the cost and effectiveness of health care, based on the latest regulations o Assess the effectiveness of health care providers and negotiate reimbursement rates accordingly o Communicate with other health plans and

Contents
ENUS209-457.PDF(86KB)

Description:

DESCRIPTION To help organizations achieve faster results, IBM has packaged the knowledge from years of experience with information projects in the health care industry into the Health Plan Data Model. This data model delivers industry expertise and regulatory best practices in a form usable by both business and IT, enabling IT to implement projects more quickly. The result can be faster time to value, fulfilled expectations, and reduced project risk. The data model includes interrelated business glossaries and enterprise data warehouse and reporting requirements models. The data models can be leveraged with InfoSphere Information Server, InfoSphere Warehouse, and InfoSphere Master Data Management Server. Key components of the Health Plan Data Model: o Conceptual data model (business terminology) component: An enterprise-wide vocabulary of business concepts that give an organization a view of itself and its industry. o Design model (Enterprise Data Warehouse model) component: An enterprise-wide data model defines how multiple sources of data should be consolidated into a single logical structure to enable real-time business analytics. The Design model includes summary, analysis, and system-of-record models. o Analytical requirements model (business solution templates) component: Collections of key performance indicators used to create OLAP cubes and datamarts for dashboards, scorecards, applications, and ad hoc reporting. Architectural elements of the Health Plan Data Model: o Data models define database structures necessary to provide management with analytical reports that contain key performance indicators for the business and deliver necessary prebuilt statutory and regulatory reporting templates. The data models also provide a glossary of terms and concepts that can be clearly understood and communicated by business and IT, thereby helping to accelerate project scoping, appropriate reports, data quality and data requirements, and identification of sources of data. o Model management of the Health Plan Data Model can be accomplished via a number of alternatives, including a combination of industry model-specific repositories and support for IBM and third-party tools (for example, Industry Models Enterprise Model Extender, InfoSphere Data Architect, CA AllFusion Erwin, and Multi-Model-Mapper (MMM). AVAILABILITY OF NATIONAL LANGUAGES Product description Language GA date BG Pk for Health Plan Ent Ed English December 16, 2009 V8.2.0 IBM Health Plan Data Model English December 16, 2009 V8.2.0 PROGRAM NUMBER Program number VRM Program name 5724-V45 8.2.0 IBM Health Plan Data Model EDUCATION SUPPORT IBM Industry Models education is available and provided as part of Industry Models Services through IBM InfoSphere Professional Services. To learn more about IBM InfoSphere Professional Services, or to contact an IBM services representative, visit http://www-306.ibm.com/software/data/ips/services/professional.html OFFERING INFORMATION Product information is available via the Offering Information Web site http://www.ibm.com/common/ssi Also, visit the Passport Advantage® Web site http://www.ibm.com/software/passportadvantage PUBLICATIONS Documents for the Health Plan Data Model offering are provided as part of the product package, which is delivered as either electronic download or on DVD. Documents include reference guides and user guides. Health Plan Data Model charts are delivered in softcopy or as hardcopy. A Quick Start Guide is also provided in the product package as either an electronic download, on DVD, or printed, depending on the order format selected. TECHNICAL INFORMATION SPECIFIED OPERATING ENVIRONMENT HARDWARE REQUIREMENTS The Health Plan Data Model does not have specific hardware requirements. Hardware requirements will vary for each customer deployment, depending on the modeling environments used. SOFTWARE REQUIREMENTS The Health Plan Data Model does not have specific software requirements. Supported platform and database requirements will vary for each customer deployment, depending on the modeling environments used. The Health Plan Data Model is supported in the following software modeling environments: o M1 3.58i o CA ERwin Data Modeler 7.2.5 1918 or 7.3.5 1945 o Enterprise Model Extender for InfoSphere Data Architect (RDA) V8.1.1 o InfoSphere Data Architect (RDA) V7.5.2 o Multi-Model-Mapper (MMM) 3.1.1 The program's specifications and specified operating environment information may be found in documentation accompanying the program, if available, such as a readme file, or other information published by IBM, such as an announcement letter. Documentation and other program content may be supplied only in the English language. PLANNING INFORMATION PACKAGING One DVD per media pack. SECURITY, AUDITABILITY, AND CONTROL The customer is responsible for evaluation, selection, and implementation of security features, administrative procedures, and appropriate controls in application systems and communication facilities. SOFTWARE SERVICES Services from IBM InfoSphere Professional Services complement the IBM Information Server platform. You can leverage the deep technical skills and proven methodologies based on years of accumulated knowledge and experience, gained through hundreds of successful implementations. The IBM InfoSphere Professional Services team offers a wide range of services-related packages that are designed to help you achieve success in the design, implementation, and rollout of your information integration projects. To learn more about IBM InfoSphere Professional Services or to contact a services representative, visit http://www-306.ibm.com/software/data/ips/services/professional.html ORDERING INFORMATION This product is only available via Passport Advantage. It is not available as shrinkwrap. Product information Product Licensed function title Product group category IBM Health Plan Data Model IBM Industry IBM Industry Enterprise Edition Models Models IBM Health Plan Data Model Project IBM Industry IBM Industry Edition Models Models IBM InfoSphere Business Glossary IBM Industry IBM Industry Pack for Health Plan Enterprise Models Models Edition PID Charge unit Program name number description IBM Health Plan Data Model 5724-V45 PA per Resource Enterprise Edition Value Unit IBM Health Plan Data Model Project 5724-V45 PA per Resource Edition Value Unit IBM InfoSphere Business Glossary 5724-V45 PA per Resource Pack for Health Plan Enterprise Value Unit Edition Charge metrics definitions Resource Value Unit (RVU) RVU is the unit of measure by which this program is licensed. RVU entitlements are based on the quantity of a specific designated measurement for the given program. A Proof of Entitlement (PoE) must be obtained for the appropriate number of RVUs required for your environment as defined by the specific program terms. The RVU entitlements are specific to the program and may include, but are not limited to, the following: client devices, data source records, messages, and servers, and may not be exchanged, interchanged, or aggregated with RVU entitlements of another program. To understand these benefits of RVU licensing, contact your IBM representative. The following conversion table is intended to assist you in determining how many RVUs to obtain for the program: IBM InfoSphere Business Glossary Pack for Health Plan and IBM Health Plan Data Model Usage level, Minimum premium Maximum premium RVUs per $0.5B cumulative income $B income $B premium income 1 0.5 0.5 100 2 >0.5 1 65 3 >1 2 37 4 >2 3 23 5 >3 4 15 6 >4 6 11 7 >6 8 8 8 >8 11 6 9 >11 15 5 10 >15 N/A 4 Passport Advantage program licenses IBM Health Plan Data Model Part Part description number IBM InfoSphere Business Glossary Pack for Health Plan Enterprise Edition BG Pk for Health Plan Ent Ed PA per Resource Value Unit E07CYLL Annual SW S&S Rnwl BG Pk for Health Plan Ent Ed PA per Resource Value Unit D0A58LL Lic + SW S&S 12 Mo BG Pk for Health Plan Ent Ed PA per Resource Value Unit D0A59LL SW S&S Reinstate 1 IBM Health Plan Data Model Part Part description number IBM Health Plan Data Model Enterprise Edition Health Plan Data Model EE Resource Value Unit Annual SW E06HALL S&S Rnwl Health Plan Data Model EE Resource Value Unit Lic + SW D080HLL S&S 12 Mo Health Plan Data Model EE Resource Value Unit SW S&S D080ILL Reinstate 12 Mo IBM Health Plan Data Model Part Part description number IBM Health Plan Data Model Project Edition Health Plan Data Model PE Resource Value Unit Annual SW E06HCLL S&S Rnwl Health Plan Data Model PE Resource Value Unit Lic + SW D080NLL S&S 12 Mo Health Plan Data Model PE Resource Value Unit SW S&S D080PLL Reinstate 12 Mo Passport Advantage trade-up licenses IBM Health Plan Data Model Part Precursor product Trade-up product number IBM Health Plan Data Model Enterprise Edition IBM InfoSphere Business Health Plan Data Model EE D0A5ALL Glossary Pack for Health PA per Resource Value Unit Plan Enterprise Edition Trade Up Lic + SW S&S Passport Advantage supply Part Program name/description number BG Pk for Health Plan Ent Ed V8.2.0 IBM IS Business Glossary Pk for Health Plan Enterprise B701SEN Ed V8.2.0 Media Pack IBM Health Plan Data Model V8.2.0 IBM Health Plan Data Model V8.2.0 DVD Media Pack B701REN English Doc Pack English V8.2.0 B701QEN PASSPORT ADVANTAGE CUSTOMER: MEDIA PACK ENTITLEMENT DETAILS Customers with active maintenance or subscription for the products listed are entitled to receive the corresponding media pack. IBM Health Plan Data Model V8.2.0 Entitled maintenance Part offerings description Media packs description number IBM Health Plan Data Model IBM Health Plan Data Model B701REN Enterprise Edition per V8.2.0 DVD Media Pack Resource Value Unit English IBM Health Plan Data Model IBM Health Plan Data Model B701REN Project Edition per V8.2.0 DVD Media Pack Resource Value Unit English Business Glossary Pack for Health Plan Enterprise Edition V8.2.0 Entitled maintenance Part offerings description Media packs description number IBM InfoSphere Business IBM IS Business Glossary B701SEN Glossary Pack for Health Pk for Health Plan Plan Enterprise Edition Enterprise Ed V8.2.0 Media per Resource Value Unit Pack TERMS AND CONDITIONS The information provided in this announcement letter is for reference and convenience purposes only. The terms and conditions that govern any transaction with IBM are contained in the applicable contract documents such as the IBM International Program License Agreement, IBM International Passport Advantage Agreement, and the IBM Agreement for Acquisition of Software Maintenance. LICENSING IBM International Program License Agreement including the License Information document and Proof of Entitlement (PoE) govern your use of the program. PoEs are required for all authorized use. Part number products only, offered outside of Passport Advantage, where applicable, are license only and do not include Software Maintenance. LICENSE INFORMATION FORM NUMBER Program Program name number Form number IBM Health Plan Data Model 5724-V45 L-CNMY-X3HN4 The program's License Information will be available for review on the IBM Software License Agreement Web site http://www.ibm.com/software/sla/sladb.nsf LIMITED WARRANTY APPLIES Refer to the program's License Information unique terms. MONEY-BACK GUARANTEE Refer to the program's License Information unique terms. AUTHORIZATION FOR USE ON HOME/PORTABLE COMPUTER The program may be stored on the primary machine and another machine, provided that the program is not in active use on both machines at the same time. You may not copy and use this program on another computer without paying additional license fees. Product name IBM Health Plan Data Model No VOLUME ORDERS (IVO) No PASSPORT ADVANTAGE APPLIES Yes, and through the Passport Advantage Web site at http://www.ibm.com/software/passportadvantage This product is only available via Passport Advantage. It is not available as shrinkwrap. IBM OPERATIONAL SUPPORT SERVICES -- SOFTWAREXCEL No SYSTEM I SOFTWARE MAINTENANCE APPLIES No EDUCATIONAL ALLOWANCE AVAILABLE Not applicable. PRICES Passport Advantage For Passport Advantage information and charges, contact your IBM representative. Additional information is also available at http://www.ibm.com/software/passportadvantage IBM GLOBAL FINANCING IBM Global Financing offers competitive financing to credit-qualified customers to assist them in acquiring IT solutions. Offerings include financing for IT acquisition, including hardware, software, and services, both from IBM and other manufacturers or vendors. Offerings (for all customer segments: small, medium, and large enterprise), rates, terms, and availability can vary by country. Contact your local IBM Global Financing organization or visit http://www.ibm.com/financing IBM Global Financing offerings are provided through IBM Credit LLC in the United States, and other IBM subsidiaries and divisions worldwide to qualified commercial and government customers. Rates are based on a customer's credit rating, financing terms, offering type, equipment type, and options, and may vary by country. Other restrictions may apply. Rates and offerings are subject to change, extension, or withdrawal without notice. ORDER NOW To order, contact the Americas Call Centers or your local IBM representative. To identify your local IBM representative, call 800-IBM-4YOU (426-4968). Phone: 800-IBM-CALL (426-2255) Fax: 800-2IBM-FAX (242-6329) For IBM representative: callserv@ca.ibm.com Mail: IBM Teleweb Customer Support ibm.com® Sales Execution Center, Americas North 3500 Steeles Ave. East, Tower 3/4 Markham, Ontario Canada L3R 2Z1 Reference: YE001 The Americas Call Centers, our national direct marketing organization, can add your name to the mailing list for catalogs of IBM products. Note : Shipments will begin after the planned availability date.