QAI Data Mart Overview
QAI Data Mart Overview
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What is a Data Mart?
Purpose of the QAI Data Mart
Examples of Available Data
Future plans
What is a Data Mart?
• A data mart is a snapshot of operational data
from one or many sources that facilitates
analysis of trends and comparisons of data
• A data mart is designed to support decision
making over a well defined set of topics
• A data mart is meant to serve one or two
departments rather than the entire enterprise
The Need for Data Marts
• Operational systems are built to serve dayto-day administrative tasks
• Enrollment
• Service Authorization
• Billing
• Often designed without considering
management reporting needs
• Operational systems emphasize availability
of current data over historical data
The Need for Data Marts
• Data marts are optimized for analyzing the
data recorded by other systems
• Data marts can merge data from different
systems (and different organizations) for
comparison and cross-referencing
• Data marts focus on a historical data
perspective that allows data from different
time periods to be compared
Accuracy of Information
in a Data Mart
• A data mart relies completely on source
systems for data
• No data entry in a data mart
• Not intended to correct errors in data found
in the source systems
• Reports and analytical results only as good
as the quality of data in the source systems
Relationship to Other Systems
• A data mart does not replace the operational
reporting provided by source systems, which
provide an up-to-the-minute picture of
operations
• Several data marts may coexist within the
enterprise, each with a different purpose
• A data mart is intended as an investigatory
tool rather than a means to get everyday
business done
Purpose of the QAI Data Mart
• Designed as a tool for DADS Quality
Assurance and Improvement
• Find areas to improve the quality of service
provided to participants in DADS programs
• Provide a platform for the analysis of program
performance and participant outcomes
• Fulfill evidentiary report requirements mandated
by CMS for waiver renewal
Purpose of the QAI Data Mart
• Designed to provide better access to
information generated by DADS
• Intended to allow reporting on topics not
currently available from other DADS systems
• Combines data to allow comparison and crossreferencing between program areas, such as
waiver program information from both legacy
MHMR and legacy DHS
Relationship to
A&D Data Warehouse
• Does not replace the A&D data mart
• Not structured or intended for
budgetary or accounting reporting or
decision making like A&D
• QAI Data Mart will implement
measurement definitions differently
than A&D in order to support program
quality assurance and improvement
Relationship to Operational Systems
• Does not replace reports produced by
operational systems like SAS and CARE
• Operational reports generally focus on the
present state of programs and participants
• QAI Data Mart will focus on historical data
to uncover trends and measure the affects of
policy over time
• QAI data is always at least one month old,
not meant for up-to-the-minute reporting
Benefits of the QAI Data Mart
• Provides analysis and reporting
capabilities not found in the agency
today
• Direct comparison of programs from
legacy DHS and legacy MHMR
• Measures utilization of services by
comparing service authorizations with
service payments on an individual basis
Benefits of the QAI Data Mart
• Allows QAI to take vague questions and
turn them into more specific questions
• Facilitates conversations about how to
improve performance of programs and
quality of life for program participants
• Will help DADS management to formulate
goals for program improvement and measure
program performance against those goals
Integration with CMS Quality
Framework
• Intended to provide measures of program
quality based on the CMS quality
framework
• CMS quality framework identifies quality
measures such as
• Measure
• Measure
• Measure
• QAI datamart provides the following
Integration with CMS Quality
Framework
• The system may be used to identify the
current state of program effectiveness
and help management set goals for
improvement
• System can help measure program
performance before and after policy
changes to measure impact of new
policy on program performance
Examples of Available Data
• The QAI Data Mart transforms data from its
source systems into a structure with many
relationships between pieces of information
• The relationships allow users to look at the
information from different points of view
• The basic set of information building blocks
can be used to remix many different reports
• Data may be filtered, grouped and organized
very efficiently to help answer questions
Examples of Available Data
• Average time between enrollment and receipt of
first service for HCS for the last year
• Service utilization per month over the last year
across programs and services
• Count of discharges per month for CBA over the
last five years
• The number of participants with downs syndrome or
autism in ICFMR waivers (both MHMR and DHS)
• Average plan of care cost per region/MRA
• Counts deaths per program filtered by diagnosis
Examples of Available Data
• Types of measures implemented in the first 2
out of 15 planned topic areas
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Authorized Units
Billed Dollars
Paid Dollars
Paid Units
Utilization
Count of Deaths
• Counts of Enrolled
Participants
• Counts of Participants
Receiving Services
• Plan of Care Dollars
• Permanent Discharges
• Temporary Discharges
• We can take any measure and sum, average,
or find the highest or lowest value
Examples of Available Data
• Ways in which information may be filtered
or grouped in the Data Mart
• Age group
• Diagnosis
• County / Region /
MRA
• Ethnicity / Gender
• Month and Year
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Level of Care
Level of Need
Program
Residence Type
Service Code
Slot Type
Examples of Available Data
• Other questions we can address with the
QAI Data Mart
• What is the average time between enrollment
and receipt of first service?
• What percentage of participants receive all the
services in their plan?
• What percentage of services do consumers
receive compared to amount authorized?
• What services go unused?
Future Plans
• Establish measures for additional topic areas
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Enrollments
Interest list
Level of Care
Level of Need
Plans of Care
CDS/SRO Options
Programs
Providers
• Abuse, Neglect and
Exploitation
• Compliance and
Oversight
• Complaints
• Critical Incidents
• Recoupments
• Participant Discharges
• Participant Transfers
Future Plans
• Integrate other program areas in addition to
Medicaid waiver programs
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Nursing Facilities
ICF/MR Facilities
Non-waiver Community Care
Hospice
Pace
STAR+PLUS
Integrated Care Management (ICM)
Title XX funded programs
Future Plans
• May be able to integrate additional
data sources
• Contract monitoring database (Shelly
Swisher)
• Utilization Review/Utilization Control
database (Paul Zanetti)
• Acute care data from TMHP
• Additional eligibility data from TMHP