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HCEKI 01-2005 From Flash Drives

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HCEKI 01-2005 From Flash Drives

  1. 1. From Flash Drives to QNet Exchange: Data Collection for Quality Improvement Special Studies Jan P. Van Vlack, RN Tracy L. Jones February 2005
  2. 2. Background <ul><li>A surgical quality improvement special study required convenient, secure transmission of surgical process, outcome, and risk adjustment data from participating hospitals to a Medicare Quality Improvement Organization (QIO). </li></ul>
  3. 3. Objective <ul><li>Identify and test different media for rapid, secure transfer of a high-volume of confidential surgical data </li></ul>
  4. 4. Setting <ul><li>Participating hospitals </li></ul><ul><li>reporting surgical data </li></ul><ul><li>to a Medicare QIO </li></ul>
  5. 5. Design <ul><li>Participating hospitals were evaluated on information system capabilities and feasible storage media. </li></ul>
  6. 6. Design Criteria <ul><li>Security </li></ul><ul><li>Storage capacity and limitations </li></ul><ul><li>Convenience </li></ul><ul><li>System requirements </li></ul><ul><li>Reusability </li></ul><ul><li>Cost </li></ul><ul><li>Portability </li></ul><ul><li>Durability </li></ul>Different media were evaluated based on the following criteria.
  7. 7. Types of Media Considered <ul><li>Floppy disks </li></ul><ul><li>Compact disks </li></ul><ul><li>Flash drives </li></ul><ul><li>Other storage media </li></ul><ul><li>QualityNet (QNet) Exchange </li></ul>
  8. 8. Floppy Disks <ul><li>Advantages </li></ul><ul><li>Small in size </li></ul><ul><li>Reusable </li></ul><ul><li>Inexpensive </li></ul><ul><li>Portable </li></ul><ul><li>Durable </li></ul>
  9. 9. Floppy Disks <ul><li>Disadvantages </li></ul><ul><li>Not secure </li></ul><ul><li>Storage space inadequate for size of databases </li></ul><ul><li>Can be lost in transit </li></ul>
  10. 10. Compact Disks (CD) <ul><li>Advantages </li></ul><ul><li>Small in size </li></ul><ul><li>Inexpensive </li></ul><ul><li>Portable </li></ul><ul><li>Storage space adequate for size of databases </li></ul>
  11. 11. Compact Disks (CD) <ul><li>Disadvantages </li></ul><ul><li>Not secure </li></ul><ul><li>Unavailability of CD burners by hospital employees </li></ul><ul><li>May require IS support, resulting in possible delays </li></ul><ul><li>Not easily reusable </li></ul><ul><li>Easily scratched </li></ul><ul><li>Can be lost in transit </li></ul>
  12. 12. Flash Drives <ul><li>Advantages </li></ul><ul><li>Cute </li></ul><ul><li>Many shapes, sizes, and types </li></ul><ul><li>Affordable </li></ul><ul><li>Very portable </li></ul><ul><li>Encryption and password protected </li></ul><ul><li>Inexpensive </li></ul>
  13. 13. Flash Drives (Advantages continued) <ul><li>Reusable </li></ul><ul><li>Compatible with most systems </li></ul><ul><li>Used with universal serial bus port </li></ul><ul><li>One time purchase </li></ul><ul><li>Extension USB cords available </li></ul><ul><li>Transfer process easily learned </li></ul><ul><li>Versatile </li></ul>
  14. 14. <ul><li>Did I mention cute? </li></ul>
  15. 15. Flash Drives Galore
  16. 16. Flash Drives <ul><li>Disadvantages </li></ul><ul><li>Not compatible with Windows NT and some older operating systems </li></ul><ul><li>USB ports disabled on user workstations in some hospitals </li></ul><ul><li>Can be lost in transit </li></ul>
  17. 17. <ul><li>Memory sticks </li></ul><ul><li>Compact flash memory </li></ul><ul><li>Secure digital memory </li></ul><ul><li>Trans flash memory </li></ul>Other Storage Considered but Not Feasible
  18. 18. QualityNet Exchange <ul><li>Advantages </li></ul><ul><li>Free </li></ul><ul><li>Secure </li></ul><ul><li>No size </li></ul><ul><li>limit </li></ul>
  19. 19. QualityNet Exchange <ul><li>Disadvantages </li></ul><ul><li>Users must be assigned and given access. </li></ul><ul><li>Users must be adequately educated. </li></ul><ul><li>Users don’t always feel comfortable with uploading process. </li></ul>
  20. 20. How Secure Data Transfer Was Accomplished for Special Study <ul><li>Provided 64 MG flash drives for participating hospitals </li></ul><ul><li>Provided blank CDs for hospitals that had USB system limitations </li></ul><ul><li>Provided individual hands-on education to hospital staff </li></ul>
  21. 21. How Secure Data Transfer was Accomplished continued <ul><li>Provided mailers with “Confidential” wrapper for flash drives and CDs </li></ul><ul><li>Allowed hospitals to use QNet Exchange if they preferred </li></ul><ul><li>Retrieved data and stored at Medicare QIO </li></ul><ul><li>Returned blank flash drives and CDs to hospitals monthly </li></ul>
  22. 22. <ul><li>Participating hospitals were offered the use of flash drives, CDs, or data transfer via QNet Exchange. </li></ul>Results <ul><li>13 hospitals used flash drives </li></ul><ul><li>2 hospitals used CDs </li></ul><ul><li>1 hospital used QNet Exchange </li></ul>
  23. 23. Lessons Learned <ul><li>Resources available to transfer data differ from hospital to hospital. </li></ul><ul><li>Projects involving data transfer need to be adjusted to individual hospital needs. </li></ul><ul><li>The world of information system resources is changing rapidly, and data transfer needs change accordingly. </li></ul>
  24. 24. Summary <ul><li>Flash drives, CDs, and QNet Exchange have successfully been used to transfer secure surgical data from the participating hospitals to a Medicare QIO. </li></ul>This material was prepared by Health Care Excel of Kentucky, the Medicare Quality Improvement Organization (QIO) of the Commonwealth, under contract with the Centers for Medicare & Medicaid Services (CMS), a federal agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Pub #HCEKI 01/2005
  25. 25. For More Information, Contact: Jan P. Van Vlack [email_address] Tracy L. Jones [email_address] (800) 300-8190 This material was prepared by Health Care Excel of Kentucky, the Medicare Quality Improvement Organization (QIO) of the Commonwealth, under contract with the Centers for Medicare & Medicaid Services (CMS), a federal agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Pub #HCEKI 01-2005

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