Data Warehouse Governance Programs in Healthcare Settings: A Literature Review and a Call to Action
Given the extensive data stored in healthcare data warehouses, data warehouse governance policies are needed to ensure data integrity and privacy. This review examines the current state of the data warehouse governance literature as it applies to healthcare data warehouses, identifies knowledge gaps, provides recommendations, and suggests approaches for further research.
A comprehensive literature search using five data bases, journal article title searches, and citation searches was conducted between 1997 and 2012. Data warehouse governance documents from two healthcare systems in the USA were also reviewed. A modified version of nine components from the Data Governance Institute Framework for data warehouse governance guided the qualitative analysis.
Fifteen articles were retrieved. Only three were related to healthcare settings, each of which addressed only one of the nine framework components. Of the remaining 12 articles, 10 addressed between one and seven framework components and the remainder addressed none. Each of the two data warehouse governance plans obtained from healthcare systems in the USA addressed a subset of the framework components, and between them they covered all nine.
While published data warehouse governance policies are rare, the 15 articles and two healthcare organizational documents reviewed in this study may provide guidance to creating such policies. Additional research is needed in this area to ensure that data warehouse governance polices are feasible and effective. The gap between the development of data warehouses in healthcare settings and formal governance policies is substantial, as evidenced by the sparse literature in this domain.
Legal and regulatory concerns, Data sharing approaches and considerations
Type of Governance Resource
Other Type of Governance Resource
Healthcare Setting(s) in which Data were Collected
Academic medical center(s)
Electronic Health/Medical Records (EHR or EMR), Claims
Generalizability to Other Settings
Based on the literature search and analysis, the authors constructed a nine-component conceptual framework for data warehouse governance (DWG), derived partially from the DGI Data Governance Framework (The Data Governance Institute), that may be useful for healthcare organizations designing and implementing DWG programs.
The literature search covers studies about data warehouse governance in healthcare and non-healthcare settings.
Geographic scope type
Elliot, Thomas E.; Holmes, John H.; Davidson, Arthur J.; La Chance, Pierre-Andre; Nelson, Andrew F.; and Steiner, John F., "Data Warehouse Governance Programs in Healthcare Settings: A Literature Review and a Call to Action" (2013). Governance Toolkit. Paper 6.
Acknowledgement of Funders
Grant number R01HS019912 from the Agency for Healthcare Research and Quality
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.