Balancing Insights and Privacy: The Critical Role of Data Governance in Mortality Data Utilization

A collaboration between the Integral Team and Veritas Data Research

In an era where data is often hailed as the new oil, the healthcare industry sits on a goldmine of information. However, this valuable asset comes with a hefty responsibility, especially when dealing with sensitive datasets such as electronic health records, but also with contextual information like mortality data. "Data governance is not just about compliance; it's about enabling the full potential of our most valuable asset - information." - Shubh Sinha, CEO of Integral. This statement encapsulates the balance organizations must strike between leveraging data for insights and safeguarding individual privacy.

The Importance of Data Governance in Mortality Data


With the proliferation of data protection regulations such as GDPR, HIPAA, and CCPA, healthcare organizations can benefit from the implementation of robust data governance practices to ensure compliance with dynamic policy changes. These regulations mandate strict controls over protected health information, and information that is joined with it (e.g. mortality data, social determinants of health, etc). For example, HIPAA requires healthcare providers to implement physical, technical, and administrative safeguards to protect patient data. Failure to comply can result in severe penalties and a significant loss of trust from patients and the public, as demonstrated by recent fines and publicity for data breaches.

Mortality data is not technically protected health information (PHI) by itself, and information about deceased individuals is generally considered exempt from the protections of GDPR and other privacy legislation. However, imagine a world where mortality data is haphazardly collected, stored, and utilized without proper governance. The consequences could be dire: misunderstood disease trends, incorrect risk models leading to poorly allocated early intervention resources, and insensitive and wasteful outreach to families of patients who are thought to be deceased. High-quality, accurate mortality data with appropriate management is crucial for informed decision-making in public health policy, medical research, and healthcare delivery.

Consider the case of the COVID-19 pandemic. Accurate mortality data played a pivotal role in shaping public health responses worldwide. Countries with robust data governance frameworks were able to quickly collect, analyze, and act upon mortality data, identifying the population segments most at risk and implementing targeted interventions that saved lives. In contrast, regions with poor data governance struggled to paint an accurate picture of the pandemic's impact, leading to delayed and often inadequate responses that missed vulnerable populations.

Veritas Data Research addresses the need for comprehensive mortality data in healthcare analytics by indexing information from 40,000 diverse public and private sources across the United States. Using advanced automation and data curation techniques, Veritas transforms raw data into standardized, analysis-ready mortality records. Their recently launched Verify solution allows clients to efficiently and effectively check the mortality status within their population of interest, without having to build ingestion or complex matching processes. This approach aims to help organizations with limited available IT resources to overcome common challenges in mortality data utilization, allowing them instead to focus on improving decision-making in areas such as treatment efficacy assessment and public health policy formulation.

Data governance frameworks establish protocols for data collection, validation, and maintenance, minimizing errors and inconsistencies. For these reasons, Veritas Data Research has built governance frameworks throughout their data indexing and delivery process. This focus on data quality and transparency is paramount, as it directly impacts the reliability of insights drawn from the data. By ensuring that the data provenance and intention of data attributes are well-understood and consistently defined and maintained across different sources, organizations can avoid the pitfalls of misinterpretation and flawed analysis. Transparent data governance practices demonstrate a commitment to ethical data handling, fostering trust among patients, families, and healthcare partners. This trust is paramount when dealing with sensitive information related to mortality. The case of the UK's care.data program[1] serves as a cautionary tale. The initiative, which aimed to centralize patient data for research purposes, failed largely due to inadequate data governance and transparency, leading to public mistrust and eventual cancellation of the program.

In contrast, well-governed mortality data can be safely shared among researchers and institutions, accelerating medical advancements and public health initiatives while protecting individual privacy.

Key Components of an Effective Data Governance Framework

An effective data governance framework for mortality data rests on several key pillars:

1. Data Classification and Management: Properly categorizing mortality data and maintaining comprehensive metadata enables efficient data retrieval and analysis while ensuring appropriate handling based on sensitivity levels. This control includes a thorough understanding of how each data attribute is created and what it represents, allowing for more nuanced classification and risk assessment.

2. Access Control and Authentication: Implementing stringent access controls and multi-factor authentication protects sensitive mortality data from unauthorized access and potential breaches and allows compliant delivery of data from restricted sources to just authorized partners.

3. Data Lineage and Provenance: Tracking the origin, movement, and transformation of mortality data throughout its lifecycle ensures transparency and facilitates audits for regulatory compliance, and allows users to validate each record’s originating source to ensure accuracy.

4. Data Quality Management: Regular data quality checks, validation processes, and error correction maintain the integrity and reliability of mortality data.

"Effective governance of mortality data is crucial for giving our users confidence that the analytical results they generate, and the patient interventions those findings allow, will be accurate and effective while protecting privacy. By ethically integrating this information into broader datasets, our partners can unlock meaningful insights for addressing health disparities in vulnerable populations."- Jason LaBonte, CEO, Veritas Data Research. Partnering with specialized experts like Veritas Data Research can help organizations form a comprehensive strategy for utilizing mortality data effectively.

Balancing Insights and Privacy: Strategies and Best Practices

Utilizing mortality data for healthcare insights while protecting privacy is complex and requires a multi-faceted approach:

1. Privacy-Enhancing Technologies: Working with an expert, such as Integral, enables tokenization, remediation, and certification of sensitive data sets. These techniques allow for meaningful analysis of mortality data that is linked to clinical real-world data (RWD) while protecting individual identities.
2. Rapid Risk Assessment: Integral makes it easy for users to quickly assess the privacy risks and compliance requirements of a dataset before purchasing or using it by offering a pre-purchase evaluation that leverages automation for speed and cost-effectiveness.
3. Comprehensive Data Policies: Comprehensive policies governing data access, sharing, and retention provide a framework for responsible mortality data utilization. Regular Privacy Impact Assessments: Periodic evaluations of data handling practices identify potential privacy risks and inform mitigation strategies.
4. Ethical Review Processes: Establishing independent ethical review processes to oversee data usage proposals can help ensure that mortality data is used responsibly and ethically.
5. Secure Data Environments: Creating secure environments where researchers can access and analyze sensitive mortality data without the ability to extract or copy it can facilitate valuable research while minimizing privacy risks.

Integral helps companies handle sensitive healthcare data, including mortality information, while meeting privacy and compliance requirements. Their approach combines expert knowledge with automation to simplify data processing, enabling faster and more confident decision-making about data use.

In conclusion, effective data governance is crucial for maximizing the value of mortality data while safeguarding individual privacy. The challenge lies not in choosing between business insights and privacy, but in crafting a harmonious approach that respects both imperatives. Continuous improvement in data governance practices enhances our ability to transform vast information resources into measurable advancements in global health outcomes. As we navigate the complexities of the regulatory environment, organizations like Veritas Data Research and Integral play crucial roles in developing and implementing innovative solutions for data management and privacy protection.

About Veritas Data Research

Veritas makes critical information accessible. Founded by experts in the data and analytics industry, Veritas uses cutting-edge technology and efficient workflow design to collect, curate, and distribute foundational reference datasets. To learn more about Veritas, visit https://veritasdataresearch.com/

About Integral

Integral enables companies to safely leverage sensitive regulated data at unprecedented speeds by automating the data de-identification and compliance certification process, allowing our customers to stay agile and iteratively drive outcomes. www.useintegral.com

[1] https://www.gov.uk/government/news/the-nhs-federated-data-platform-the-importance-of-building-bridges-with-the-public

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