Healthcare Data Analytics & Data Warehousing
Clinical data warehousing, OMOP CDM implementation, healthcare ETL pipeline development, population health management, advanced analytics, and real-world evidence studies for health systems, payers, and life sciences organizations.
Updated
Healthcare Data Analytics Capabilities
From OMOP CDM implementation through clinical data warehouses, population health stratification, and FDA-grade real-world evidence. Pick a capability to see what the work looks like.
OMOP CDM v5.4 implementation across your clinical + claims data
Full OHDSI Common Data Model deployment on PostgreSQL, SQL Server, Snowflake, Databricks, or Azure Synapse, with vocabulary loading (SNOMED CT, LOINC, RxNorm, ICD-10), source-to-OMOP ETL pipelines, Data Quality Dashboard validation, and ATLAS analytics deployment. Our implementations support federated research participation in the global OHDSI network of 800+ data partners.
- OMOP CDM v5.4 schema with full vocabulary load (SNOMED, LOINC, RxNorm)
- Source-to-OMOP ETL with custom code crosswalks (450K+ local codes typical)
- OHDSI Data Quality Dashboard validation + Achilles profiling
- ATLAS cohort tools + R packages (CohortDiagnostics, FeatureExtraction)
Clinical data warehouses + repositories on every major cloud platform
HIPAA-compliant clinical data warehouse design and deployment on Snowflake, Databricks, Azure Synapse, or AWS Redshift, with dimensional schemas alongside OMOP CDM tables to serve operational reporting and research analytics from a single platform. Role-based access, column-level PHI encryption, and automated refresh from upstream clinical systems.
- Multi-platform clinical data warehouse architecture (Snowflake / Databricks / Synapse)
- Dual schema: dimensional for ops reporting + OMOP CDM for research
- Column-level encryption for PHI fields (KMS-backed)
- Automated refresh from EHR Clarity, claims, and FHIR Bulk Data
Population health analytics for value-based care
Risk stratification using HCC, CDPS+, or custom ML classifiers, surfacing high-risk patients for care management outreach. Automated HEDIS / Stars / MIPS measure calculation with CQL logic. Care-gap identification across chronic disease management with provider dashboards in Power BI, Tableau, or Looker. Built on clinical data warehouses or OMOP CDM foundations.
- HCC + CDPS+ + custom ML risk stratification models
- eCQM / HEDIS / Stars / MIPS measure automation via CQL
- Care-gap identification with care-coordinator dashboards
- Risk-adjusted utilization + outcomes tracking for VBC programs
Real-world evidence studies for FDA submission and post-market surveillance
OMOP-CDM-based observational studies for pharmaceutical sponsors and CROs: comparative effectiveness research, propensity-score-matched cohort studies, post-market safety surveillance, and label-expansion submissions. We implement the OHDSI methods library (negative controls, sensitivity analyses, study diagnostics) with FDA RWE Framework-aligned protocols and statistical analysis plans.
- Retrospective cohort + case-control + self-controlled case series designs
- Propensity score matching with 200+ covariate balancing
- Negative-control analyses + study diagnostics (OHDSI methods)
- FDA submission packages: protocol · SAP · CONSORT-style results
What Healthcare Analytics Looks Like in Production
A snapshot of the analytics outputs our platforms produce: patient-record scale, OMOP CDM data quality, federated network reach, automated quality measures, cohort query speed, and vocabulary mapping coverage.
Healthcare Analytics Pipeline
A production healthcare data analytics pipeline flows from source systems through ETL transformation into the OMOP CDM, powering analytics tools and actionable insights.
Source Systems
EHR, claims, labs, registries, and FHIR Bulk Data exports
ETL Engine
Extract, transform, vocabulary mapping, and data quality checks
OMOP CDM
Standardized clinical data model with SNOMED, LOINC, RxNorm vocabularies
Analytics Layer
ATLAS, cohort tools, BI dashboards, and R/Python notebooks
Insights & Reporting
Population health, RWE studies, quality measures, and executive dashboards
Healthcare Analytics in Practice
Real-world healthcare data analytics implementations across health systems, payers, pharmaceutical companies, and community health networks.
Multi-Site OMOP CDM for Clinical Research
Deployed OMOP CDM v5.4 across a five-hospital academic health system, mapping 12 million patient records from Epic Clarity, legacy Cerner databases, and claims feeds into a unified research data warehouse. Built ETL pipelines that mapped 450,000+ local codes to OMOP standard vocabularies, enabling the research team to participate in OHDSI network studies including COVID-19 treatment effectiveness and opioid use disorder cohort characterization. ATLAS-based cohort definitions replaced manual chart review for IRB-approved studies, reducing cohort identification time from weeks to hours.
Population Health Risk Stratification & Care Gaps
Built a population health analytics platform for a regional health plan covering 800,000 members, integrating medical and pharmacy claims, lab results, and health risk assessment data into a clinical data warehouse on Snowflake. Implemented risk stratification models using HCC and CDPS+ methodologies to identify high-risk members for care management outreach. Automated care gap detection for HEDIS measures including breast cancer screening, HbA1c testing, and well-child visits, surfacing actionable member lists to care coordinators through Power BI dashboards.
Real-World Evidence for FDA Regulatory Submission
Designed and executed a retrospective cohort study using OMOP CDM data from a multi-site research network to generate real-world evidence supporting a supplemental new drug application. The study analyzed treatment patterns and clinical outcomes for 45,000 patients across six health systems, applying propensity score matching and negative control analyses to address confounding. Delivered a complete FDA submission package including the study protocol, statistical analysis plan, CONSORT-style results, and sensitivity analyses that demonstrated drug effectiveness in a broader population than the original pivotal trial.
Quality Measure Automation & CMS Reporting
Automated eCQM calculation and CMS quality reporting for a 12-clinic community health network participating in MIPS and ACO REACH programs. Built ETL pipelines from athenahealth and NextGen EHRs into a centralized clinical data warehouse, implemented CQL-based measure logic for 15 quality measures, and generated submission-ready QRDA Category III reports. The automated pipeline replaced manual abstraction workflows, reducing quality reporting effort by 80% and improving measure accuracy by identifying previously missed numerator events in unstructured clinical notes.
Analytics Approaches Compared
Choosing the right data architecture depends on your research, reporting, and operational analytics requirements. Here's how the major approaches compare.
| Feature | OMOP CDM | Custom Data Warehouse | Direct EHR Queries |
|---|---|---|---|
| Standardized Vocabularies | |||
| Multi-Site Research | Limited | ||
| Real-World Evidence | Custom build | ||
| Query Performance | Optimized | Optimized | Variable |
| Setup Complexity | Moderate | High | Low |
| OHDSI Tool Ecosystem | |||
| Vocabulary Mapping | Built-in | Custom | None |
| Federated Analytics | |||
| Population Health | Limited | ||
| Regulatory Submissions | Custom |
Healthcare Analytics in Production
Real-world healthcare data analytics engagements: from multi-site OMOP CDM warehouses to population health platforms to FDA-grade real-world evidence studies.
OMOP CDM Across 5 Hospitals · 12M Patient Research Warehouse
An academic medical center deploying OMOP CDM v5.4 across 5 hospitals: mapping 12M patient records from Epic Clarity + legacy Cerner + claims feeds, 450K+ local codes crosswalked to standard vocabularies, ATLAS-driven cohort identification replacing weeks of manual chart review with sub-hour queries.
epic_clarity: "4 hospitals"
cerner_legacy: "1 hospital"
claims_feed: "all sites"
map("ndc", "rxnorm")
map("loinc", "loinc")
// 450K codes mapped
Population Health Risk Stratification · Regional Health Plan
A regional health plan needed risk-stratified care-gap surfacing across its member population. We built a clinical data warehouse on Snowflake combining medical + pharmacy claims + lab + HRA data, with HCC + CDPS+ risk scoring and automated HEDIS care-gap identification surfaced through Power BI dashboards for care coordinators.
medical_claims: "daily"
pharmacy_claims: "daily"
labs: "weekly"
model: "hcc + cdps+",
tiers: ["low", "med", "high"],
refresh: "monthly"
})
Real-World Evidence Pipeline for an FDA Submission · 45K Patient Cohort
A pharmaceutical sponsor preparing a real-world evidence submission: 45K patient cohort across 6 health systems on OMOP CDM, propensity score matching with 50+ negative controls, and an FDA-aligned study protocol with statistical analysis plan and sensitivity analyses delivered as a submission-ready package.
design: "comparative effect"
cohort_n: 45_000
sites: 6
covariates: "> 200",
neg_controls: 50,
sensitivity: "5 analyses"
})
Engagement Patterns We Deliver
Pick a pattern to see how Saga IT runs healthcare data analytics engagements in production. Four repeatable engagement shapes that anchor every analytics project: clinical decision support software, population health management, OMOP CDM with clinical analytics, and real-world evidence studies.
Quality measure and CQL logic behind decision support
Clinical decision support is only as good as the measure logic underneath it. We author Clinical Quality Language (CQL) libraries for eCQMs, care gaps, and guideline rules, validate them against the warehouse, and expose them as FHIR-native services. The delivery side, the CDS Hooks services and SMART on FHIR sidebars that fire inside the EHR, lives on its own page; this is the analytics that feeds it.
- CQL
- eCQM
- FHIR R4
- Evidence-graded
- CQL rule authoring with explainable evidence chains and citation links
- eCQM calculation against the clinical data warehouse, reconciled to CMS specifications
- FHIR R4 data access (Observation, Condition, MedicationRequest) for patient-level evaluation
- Care-gap and risk cohort definitions the CDS layer evaluates at the point of care
- A/B validation of rule precision against historical outcomes before anything fires
Population health management & analytics
Population health management platforms that surface risk-stratified panels, care-gap closure opportunities, and quality-measure performance to care teams and operations leaders. We build on top of clinical data warehouses and OMOP CDM stores so the same data feeds analytics, regulatory reporting, and front-line workflow tools.
- Risk stratification
- HEDIS
- CMS reporting
- Care gaps
- Risk stratification models: chronic disease, readmission, total cost of care
- Care-gap registries with EHR write-back to surface gaps in the chart
- HEDIS quality-measure calculation and CMS quality-reporting submissions
- Operational dashboards for panel management, ED utilization, and SDOH
- Population-level CDS feedback loop: what worked, what didn't, where to invest
Clinical analytics on a standardized data model
OMOP Common Data Model implementation: schema build, source-to-OMOP ETL, vocabulary mapping (SNOMED CT, LOINC, RxNorm, ICD-10), and quality-control rules. The OMOP CDM makes federated clinical analytics possible across sites without sharing patient-level data. The same OHDSI cohort definition runs identically against your warehouse and a partner site's.
- OMOP CDM v5.4
- OHDSI Atlas
- Snowflake / Databricks
- Federated
- OMOP CDM v5.4 schema build on AWS, Azure, or on-prem (Postgres / Snowflake / Databricks)
- EHR → OMOP ETL pipelines with vocabulary mapping and concept-set authoring
- Athena / OHDSI tool integration (Atlas, Hades) for cohort definition and characterization
- Clinical analytics: incidence, prevalence, treatment-pathway analyses
- Federated study participation (N3C, OHDSI network) without patient data egress
Real-world evidence (RWE) studies
Real-world evidence study design and execution for life sciences, pharmacovigilance teams, and academic medical centers. We design protocols, build cohorts, and execute analyses that meet regulatory expectations (FDA RWE Framework, EMA ARTICLE 81b), drawing from EHR, claims, and registry data through OMOP CDM or HL7 v2 / FHIR pipelines. For device makers, real-world evidence from device data comes from Kymolog™, our medical device data analytics product.
- FDA RWE Framework
- OHDSI Hades
- Pharmacovigilance
- OMOP federated
- Protocol design and statistical analysis plan (SAP) authoring for FDA / EMA submissions
- Cohort definition with phenotype validation against the EHR source-of-truth
- Comparative effectiveness, drug-safety, and natural-history study execution
- OMOP-based federated networks (N3C, EHDEN) for multi-site evidence generation
- Regulatory-grade documentation with reproducible OHDSI Atlas / Hades workflows
Building an OMOP CDM warehouse, population health platform, or RWE study pipeline? Let's scope your project.
Talk to a Data Analytics ExpertCommon Questions
Saga IT provides end-to-end healthcare data analytics services including OMOP CDM implementation, clinical data warehouse design and deployment, ETL pipeline development, population health analytics, real-world evidence studies, quality measure automation, and de-identification for research. We work across the full analytics lifecycle: from initial data source assessment and architecture design through ETL development, data quality validation, analytics tool deployment, and ongoing operational support. Our team has experience with all major cloud analytics platforms including Snowflake, Databricks, Azure Synapse, AWS Redshift, and the OHDSI toolkit (ATLAS, ACHILLES, and the R analytics packages). We serve health systems, health plans, pharmaceutical companies, and clinical research organizations.
It depends on how much of your data a packaged platform can see and how far your questions go beyond its built-in reports. A healthcare analytics platform is the faster start when your needs match its prebuilt content: standard quality measures, payer-style risk scores and executive dashboards. It gets expensive and rigid when you need data it cannot ingest, measure logic you cannot inspect, or reporting it does not offer. Building on your own clinical data warehouse (Snowflake, Databricks, Azure Synapse or AWS Redshift) keeps the data, the logic and the cost under your control, and every new source or report becomes a change you own. Many organizations do both: the warehouse is the single source of truth, and packaged healthcare analytics software reads from it where it fits. Saga IT helps you make that call against your actual sources and use cases, then builds whichever side you need.
Yes, and that aggregation is most of the work in a healthcare analytics project. Each source arrives in its own shape: EHR database extracts and FHIR API pulls, X12 837 and 835 claims files, HL7 v2 lab results, and registry submissions. We build ETL pipelines (dbt, Spark or AWS Glue) that land each feed, match patients across systems with an enterprise master patient index, and map local codes to standard vocabularies such as SNOMED CT, LOINC, RxNorm and ICD-10. The result is one longitudinal record per patient that analysts can query without knowing which system each fact came from. Data quality rules run on every load, so a broken feed is caught before it reaches a dashboard.
Choose the model by the questions the warehouse has to answer. A dimensional model (star schemas of facts and dimensions) is the usual choice for operational and financial reporting, because BI tools query it quickly and analysts find it easy to read. OMOP CDM fits when the goal is research across institutions, since its standardized vocabularies let the same query run unchanged at a partner site. A FHIR-shaped store suits a warehouse that feeds applications and APIs as well as reports. Most health systems end up with more than one: a curated core that holds the cleaned, standardized data, and a modeled layer per audience on top. We settle the healthcare data modeling around your reporting, quality and research needs before any ETL is written, so the warehouse does not need a rebuild when the second use case arrives.
Yes. We build healthcare dashboards in Power BI, Tableau and Looker on top of the warehouse, so every chart reads from the same governed data rather than a spreadsheet export. Typical healthcare business intelligence work covers quality-measure scorecards, care-gap and panel views for care managers, ED and inpatient utilization, payer mix and cost trends, and executive summaries that drill down to the patient list behind a number. We define each metric once in a semantic layer, test it against the source reports your teams already trust, and set refresh schedules that match how often the data actually changes. Row-level security keeps each team to the patients and facilities it is allowed to see.
Timelines depend on the number of source systems, the data volume and how much code mapping the sources need. A first release built on a single EHR source (such as Epic Clarity or Cerner Millennium) typically takes 12 to 20 weeks, covering source profiling, data modeling, ETL development, data quality validation and the first dashboards. Warehouses that combine EHR, claims, lab and registry data typically span 6 to 12 months, because each added source brings its own patient matching and vocabulary crosswalks. An OMOP CDM layer for multi-site research adds vocabulary mapping and data quality certification on top. Saga IT delivers in phases: a core set of tables and reports goes live first for immediate value, and coverage expands source by source after that.
Compliance is designed into the warehouse rather than added at the end. PHI is encrypted at rest and in transit, the most sensitive columns are encrypted or masked, and access is role-based so analysts see only what their job requires. The platform runs under a business associate agreement with your cloud provider, and every query and export is logged for review. For healthcare data governance, we set up a data catalog with a named owner and a definition for each table and metric, quality checks on every load, and retention rules that match your policies. That combination is what lets compliance, IT and clinical leaders trust the same numbers. For the policies and risk assessment around the platform, see our HIPAA compliance services.
Look for a partner that has worked with your source systems, not only with analytics tools. Ask which EHR and claims sources they have loaded, how they handle patient matching and code mapping, and how they reconcile their numbers with the reports your teams already rely on. Check that they cover the clinical side as well as the engineering: quality-measure specifications, risk adjustment, and the HEDIS and CMS reporting context. Make sure the work is handed over in a form your staff can run, with documented pipelines, tests and access controls, rather than a black box only the vendor can operate. Saga IT builds the HL7, FHIR and EHR interfaces the data comes from as well as the warehouse and analytics on top, so one team owns the whole path.
A clinical data warehouse is a structured, schema-on-write analytical database where data is cleaned, transformed, and organized into defined tables before loading, optimized for fast, repeatable queries across clinical, financial, and operational data. A data lake is a schema-on-read storage layer that ingests raw data in its native format (HL7 messages, FHIR bundles, CSV files, imaging metadata) and applies structure only at query time. In practice, most healthcare organizations use both: a data lake as the landing zone for raw data ingestion from diverse source systems, and a clinical data warehouse (often built on OMOP CDM or custom dimensional models) as the curated analytical layer where cleaned and standardized data serves BI dashboards, quality reporting, and research queries. Saga IT typically designs this two-tier architecture with an ingestion layer on cloud object storage feeding ETL pipelines that load into a structured clinical data warehouse.
Population health analytics applies data science and statistical methods to clinical and claims data to understand health outcomes, identify at-risk populations, and measure the effectiveness of care interventions across defined patient groups. Core capabilities include risk stratification (using models like HCC, CDPS+, or custom machine learning classifiers), care gap identification for preventive screenings and chronic disease management, utilization analysis, and outcomes measurement for value-based care programs. Population health management software built on these analytics enables health systems and payers to proactively manage patient populations: surfacing high-risk patients for care management outreach, tracking quality measure performance across provider networks, and modeling the financial impact of clinical interventions. Saga IT builds population health analytics platforms on clinical data warehouses and OMOP CDM, connecting predictive models to care coordination workflows through dashboards and automated alerting.
A clinical data repository (CDR) is a centralized database that aggregates and stores patient clinical data from multiple source systems (including EHRs, laboratory information systems, radiology systems, pharmacy systems, and ancillary clinical applications) in a unified, queryable format. Unlike an EHR database that is optimized for transactional clinical workflows, a CDR is designed for cross-system data aggregation and analytical access. A CDR typically normalizes data from disparate sources into a common schema, resolves patient identity across systems using an enterprise master patient index (EMPI), and provides a longitudinal patient record that spans encounters, facilities, and care settings. CDRs serve as the foundation for clinical data warehouses, population health analytics, and quality reporting by providing a single source of truth for patient data. Organizations often implement CDRs using OMOP CDM or custom dimensional models, depending on whether the primary use case is multi-site research (OMOP) or operational reporting (dimensional). Saga IT designs and deploys clinical data repositories on cloud platforms including Snowflake, Databricks, and Azure Synapse, with ETL pipelines that continuously synchronize data from upstream clinical systems.
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