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The setting of the conflict that I was party to has to do with the creation of a prototype of a longitudinal view of patients diagnosed with Diabetes. The computer system that is used at my organization for a patient’s Electronic Health Record (EHR), delivered a data warehouse solution for ease of reporting, or so they said. Senior leadership was sold on this idea by the vendor and thought it was the perfect solution to use to create a longitudinal view of medical record data for those patients who were diagnosed with Diabetes. The longitudinal view was to include both billing data such as charges and payments and clinical data such as vital signs, lab results and prescribed medications.

The players included senior leadership as the project stakeholders, the IT Strategy and Planning department who gathered the requirements and put the Project Charter together, the Project Manager, and from my department, a Senior Director, a Data Architect, a Database Administrator and me to provide the software solution for the presentation of the data.

The nature of the conflict was that the vendor who delivered the data warehouse provided no documentation for the data marts that were delivered or how the data was meant to be used. It was quickly realized and discovered that this solution could not be used straight out of the box for a few reasons. No gap analysis had been performed to verify that all required attributes and metrics for the longitudinal view would be available in the data warehouse prior to senior leadership approving its use. After a gap analysis was performed, it was verified that not all of the required attributes and metrics were available. The design and intent of the delivered data marts did provide a structure for creating the Diabetes longitudinal view, but not in a manner that was usable.
The conflict that was discovered by doing a gap

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