IBM Industry Models for Health Care: The Health Plan Data Model

Few industries are changing as rapidly as the health care industry. Health plans must stay ahead of the competition by offering new products and services, anticipating customer needs and providing superior service. This in turn depends on a deep knowledge and understanding of members, providers, brokers and partners. Providers need a flexible architecture to reduce the expense of integration and increase the velocity and accessibility of information.

The IBM Industry Models for Health Care: The Health Plan Data Model provides a blueprint for a comprehensive data warehouse. Building on the market-leading IBM Insurance Application Architecture offerings for life, property and casualty insurance firms, the HPDM provide a glossary of terms and concepts that can be understood and communicated by both business and IT, thereby helping to accelerate project scoping, appropriate reporting, data quality, data requirements and identifying sources of data.

• Proven—Many large institutions worldwide are using the IBM Industry Models in various facets of their business-driven IT strategies.
• Business-ready—The models are proven to foster collaboration and approval between business and IT, as necessary, to turn business requirements into actionable solutions.
• Regulation aware—Subject matter experts have distilled compliance regulations into statutory reporting requirements without the need for external development.
• Comprehensive—Content garnered from multiple client engagements is turned into a suite of interrelated models with a proven methodology requiring minimal customization.