Open data for innovation in governance

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Overview of Healthcare Meta Data and Data Standards

Overview of Healthcare Meta Data and Data Standards

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  • 1. 08 AUG 2013 CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION. Contact: Dr Pankaj Gupta Partner, Taurus Glocal Consulting Board Member HIMSS Asia-Pacific-India Chapter HIR @ The International Centre for Health Innovation, Richard Ivey School of Business, Canada Website: www.taurusglocal.com Blog: http://www.healthcareitstrategy.blogspot.com/ LinkedIn: http://www.linkedin.com/in/drpankajgupta Open Data for Innovation in Governance
  • 2. ORIGIN OF STANDARDS R A I L W A Y G A U G E S T A N D A R D Meter Gauge Scotch 4 ft 6 in (1,372 mm) Cape 3 ft 6 in (1,067 mm) Standard Gauge 4 ft 8 1⁄2 in (1,435 mm) (Stephenson gauge) Broad Gauge Indian 5 ft 6 in (1,676 mm) O R I G I N O F T H E S T A N D A R D ?
  • 3. PARADIGM SHIFTS QUESTION STANDARDS P A R A D I G M S H I F T I N I N D U S T R Y S T A N D A R D S D E B A T E : T I M E I S C Y C L I C A L O R L I N E A R ? 25 December 1969: While Swiss watch makers were playing one-upmanship with their mechanical watches Seiko Japanese company unveiled the world's first quartz wristwatch - the 35SQ Astron Watch 2013: Sony has launched mobile phone watch. Now will time become multi-dimensional?!
  • 4. ADOPTION OF STANDARDS DEPENDS ON PERCEPTION BIRD OR A RABBIT?
  • 5. HEALTHCARE STANDARDS Interoperability Standards  Minimum Data Sets and Data Standards  Standard Code Directories  Standard Meta Data for Semantics  Standard Ref Architecture  Standard Interfaces HIPAA Title II: Preventing Health Care Fraud and Abuse; Administrative Simplification; Medical Liability Reform  Data Privacy  Transactions and Code Sets  Data Security  Unique Identifiers
  • 6. INTEROPERABILITY STANDARDS: E.G. CANADA HEALTH INFOWAY BLUEPRINT
  • 7. UNIQUE IDENTIFIERS AND REGISTRIES Health information exchange between systems  Facility Registry  Physician Registry  Patient Registry  Disease Registry  Document Registry Integration between systems  All IDs to be Unique  Registries to be in Sync  Avoid: Dr Om Prakash Singh in ENT vs Dr OP Singh in Otolaryngology?
  • 8. DEFINE MINIMUM DATA SETS H I S T O R I C A L P E R S P E C T I V E Hb < 7 Hb > 7 IFA Tablets Given : Report in blocks of 100 100 Tablets Given? or Tablets given to 100 Women? C L E A N S L A T E P E R S P E C T I V E Define Min Data sets that can be used by all applications Lab Test Type = Hb Lab Test Value = 5, 7, 9, 11, 13 Define meta data for clear semantics of Data Elements and Indicators
  • 9. CODE DIRECTORIES Master Data integration challenge – codify diagnosis, procedures and order sets Data Analytics challenge - standard terminology for clinical notes  Diabetes with MI discharged with B-blocker  Diabetes with Coronary Atherosclerosis discharged with B-blocker  Type-II Diabetes with CHF discharged with Metoprolol
  • 10. DATA PRIVACY Protected Health Information (PHI)  Right to keep personal information from outside world  Hospital staff, in-house and outsourced IT staff may be authorized to see data and may disclose it inappropriately Protect sensitive information – PNDT and MTP Act Positive results for sensitive Lab tests - HIV etc. Public health research - Anonymised data Don’t want data of one landing up on another’s desk - People master, Dept master to be in sync in integrated systems Dr Parminder Singh = Dr P Singh ! Dr Paramjit Singh = Dr P Singh ?
  • 11. THANKS!