Simple Interop for Healthcare (Wes Rishel)
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Excellent deck making the case that exchange of health data (interoperation, interoperability) should be encouraged through simple exchange mechanisms.
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Similar to Simple Interop for Healthcare (Wes Rishel)
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Discussion for Week 4
Subscribe
Topic: Explain the data interchange standards required to enable the flow of the
information.
As part of the Stage 2 assignment, you will identify Data Interchange Standards the
Midtown Family Clinic EHR system will use to exchange information with external
organizations. For this discussion, we will explore several different Data
Interchange Standards, or "Interoperability Standards" as the ONC defines them.
First to understand the top challenges in sharing data, read
http://www.pewtrusts.org/en/research-and-analysis/fact-
sheets/2016/11/electronic-health-records-patient-matching-and-data-
standardization-remain-top-challenges This article highlights the need for data
standardization. Next, you will become familiar with the Interoperability Standards
Advisory published and maintained by the Office of the National Coordinator for
Health Information Technology (ONC) https://www.healthit.gov/isa/ The purpose
of the Advisory, as stated on the website is shown below.
The Interoperability Standards Advisory (ISA) is meant to serve at least the following
purposes:
1. To provide the industry with a single, public list of the standards and
implementation specifications that can best be used to address specific
clinical health information interoperability needs. Currently, the ISA is focused
on interoperability for sharing information between entities and not on intra-
organizational uses.
2. To reflect the results of ongoing dialogue, debate, and consensus among
industry stakeholders when more than one standard or implementation
specification could be used to address a specific interoperability need,
discussion will take place through the ISA public comments process. The web-
version of the ISA will improve upon existing processes, making comments
more transparent, and allowing for threaded discussions to promote further
dialogue.
http://www.pewtrusts.org/en/research-and-analysis/fact-sheets/2016/11/electronic-health-records-patient-matching-and-data-standardization-remain-top-challenges
https://www.healthit.gov/isa/
3. To document known limitations, preconditions, and dependencies as well as
provide suggestions for security best practices in the form of security patterns
for referenced standards and implementation specifications when they are
used to address a specific clinical health IT interoperability need."
GROUP 4: From the many different standards listed in the Advisory, choose one
that has not yet been posted and:
1. Put the Title of the standard in the Subject line for your posting.
2. Conduct some additional research and explain:
a. What the standard is
b. What the standard is used for
c. Why it is important
GROUPS 1, 2 and 3: For at least two postings,
1. Conduct your own research on the standard
2. Critically evaluate and respond to the explanation provided for:
a. What the standard is
b. What the standard is used for
c. Why it is important
3. Provide at least one additional comme ...
Healthstory Enabling The Emr Dictation To Clinical Data
EHRs are database centric while medical records are document centric. The conventional wisdom is that documents are bad and discrete data is good. Historically, clinicians have resisted efforts to establish structured data standards for dictated reports. This lack of an industry-wide standard for report content and format confounds interoperability efforts. For nearly two decades, information system specialists have attempted to impose new documentation methods that are more suited to database management but do not meet the needs of the practicing physician. Achieving physician buy-in for electronic record systems that do not accommodate narrative documentation methods such as dictation and transcription has proven to be quite difficult for many EHR vendors
The Health Story Project (formerly the CDA4CDT initiative Clinical Document Architecture for Common Data Types) is an alliance of organizations that have been working together with HL7 for nearly two years to develop and publish data standards for electronic clinical documents. The initiative is based on Clinical Document Architecture (CDA) - a balloted HL7 document markup standard that specifies the structure and semantics of a clinical document for the purpose of exchange. Document templates for the most commonly dictated report types (H&P, Consult, Operative Note, etc) specify required and optional headings. Templates are developed based on prevailing practice and establish consensus on content and format
Module 1Discussion question 1Consider the following scenario Y.docx
Module 1/Discussion question 1
Consider the following scenario: You are in a hospital setting with various departments such as admissions, emergency, radiology, pharmacy, etc. As mentioned in the module readings, one factor that makes health care such a complex field is that there are numerous types of health care data spanning a broad spectrum Below are some pertinent questions that are essential to a data management professional in relation to data.
Summarize your responses to these questions and post your summary into the Discussion Forum. Compare your ideas with those of your colleagues.
1) What types of data might be found in the environment mentioned above?
2) What would be their categories in terms of data type and how will the data be collected?
3) What would be the rationale why the data is categorized in that manner?
4) What would be some of the appropriate strategies that can be utilized to deal with the management of any barriers, facilitators, and challenges during the data collection process and analysis?
5) Which are some of the areas that will require improvement?
6) What will be the potential benefits of the improvement in these areas?
7) Why do you think this modification has not been previously made?
Note: For this discussion question, review Module 1 Readings and apply your personal or work experiences.
My Reply
In a hospital setting with various departments, a
number of data can be accessed and retrieved within the different departments. Clinical data is a staple resource for most health and
medical research. Clinical data is either collected during the course of
ongoing patient care or as part of a formal clinical trial program. Clinical data
falls into six major types; Electronic health records;Administrative data; Claims data; Disease registries; Health surveys; Clinical trials data. Clinical research data may be available through national or
discipline-specific organizations. Level of access is likely restricted but
available through proper channels. Electronic
health record is the purest type of electronic clinical data which is
obtained at the point of care at a medical facility, hospital, clinic or
practice. Often referred to as the electronic medical record (EMR), the EMR is
generally not available to outside researchers. The data collected includes
administrative and demographic information, diagnosis, treatment, prescription
drugs, laboratory tests, hospitalization, patient insurance, etc.
Administrative date is often associated with electronic health records; these
are primarily hospital discharge data reported to a government agency like AHRQ. Claims data describe the billable interactions
(insurance claims) between insured patients and the healthcare delivery system.
Claims data falls into four general categories: inpatient, outpatient,
pharmacy, and enrollment. The sources of claims data can be obtained from the
government (e.g., Medicare) and/or commercial health firms (e.g., United
HealthCare).
M ...
Ehr As We See It
The document discusses several key points about electronic health records (EHRs):
1) Currently, none of the EHR vendors meet federal requirements because their systems are not interoperable between each other.
2) For EHRs to have value, they must be interconnected and allow information to be shared between different providers and organizations through regional and national health information networks.
3) A network of interconnected EHRs has much higher value than individual systems that are not connected.
Electronic health records
This document discusses the benefits and challenges of electronic health records (EHRs) and their role in public health informatics. It outlines how EHRs can improve patient care by providing more legible, shareable records compared to paper charts. EHRs also enable clinical decision support, alerts, and reminders to help practitioners. On a larger scale, EHR data in clinical data repositories and registries can help public health by tracking diseases, exposures, and procedures. However, EHR adoption faces challenges such as costs, technical issues, security concerns, and lack of standardized data exchange. Overall, the document argues that EHRs have the potential to dramatically change clinical practice and safeguard populations through improved teamwork and surveillance
Preparing For A New Era In Health Care Baker
The document discusses the transition to electronic health records mandated by the HITECH Act and ARRA. It defines key terms like EHR, HIE, and meaningful use. It explains that reimbursement will depend on implementing a certified EHR system meeting meaningful use criteria like CPOE, clinical decision support, and information exchange. Point of care testing and laboratories must ensure test results are incorporated into the EHR in structured data. The transition requires reengineering health systems and establishing connectivity between facilities.
Direct Project HITSC Update 03.29.11
The document provides an overview and update on the Direct Project including:
- Background on what Direct is and why it is needed to provide secure electronic health information exchange.
- Examples of live Direct implementations across several states that are demonstrating use cases related to Meaningful Use criteria.
- Technology providers involved in the various pilot implementations, including health information service providers (HISPs) and electronic health record (EHR) vendors.
- Major findings from the pilot implementations including positive feedback on Direct's ability to facilitate health information exchange and support Meaningful Use goals.
Making Sense of Health Information Systems
Technology is transforming care, but most health information systems are a long way from becoming comprehensive and seamless. Visit http://kp.org/choosebetter to learn how a sophisticated, multifunctional system enables caregivers to improve outcomes, helps members take charge of their health, and gives businesses the data they need to manage their health care costs.
Medical Software and Hardware
EHR software stores patients' personal and medical information digitally and restricts access to authorized personnel. It integrates data across departments. Popular types are EPRs used internally by hospitals and EMRs tracking a patient's recovery at a specific hospital unit.
Patient portals allow patients to access their medical records and check services available. They improve communication for chronically ill patients and encourage more complete records through patient feedback. However, concerns include potential hacking and difficulties encouraging patient adoption.
Telemedicine software enables online doctor consultations and prescription tools. It improves access to care, especially for remote patients, and is more convenient. However, insurance coverage can vary and technological issues may delay emergency care. E-prescrib
Learning Outcome Recommend data standard policies for interoper.docx
Mary Watson is creating a strategic plan for a new integrated healthcare system with home care, skilled nursing, hospitals, and nursing homes. She needs to consider standards for sharing patient information between different parts of the system, some which have electronic records and some paper-based. The most important standards are content exchange standards to map data elements, vocabulary standards to ensure consistent terminology, transport standards for transferring paper and electronic records, and privacy/security standards to protect patient information. Barriers to interoperability include different record systems, but implementing content and vocabulary standards could help overcome this and allow efficient information sharing.
Computer based record
The document discusses computer-based patient records (CPRs). It defines CPRs and compares them to electronic medical records (EMRs). CPRs contain complete patient data across providers and are designed to support users. EMRs focus on a single provider and usually stay within a practice. The document also outlines characteristics of CPRs like accountability, flexibility, interoperability and comprehensiveness. Benefits include coordinated care, reduced errors and costs. Legal issues involve privacy and patients' rights to access their health records.
Telehealth and Medical Tourism platform that transforms healthcare
Health care sector is undergoing a critical transition from a delivery system aimed at providing occasional institutional care for the treatment of illnesses to an importance on information systems that support community-based care, with greater consumer involvement in the prevention and management of illness across the life span. Telemed is a Mobile Application Platform using advanced communications technologies to support long-distance Video Visits, Second opinions, Patient health education, Push Alerts, Health Analytics, Electronic health Records, and SOAP Notes
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YES you should Google. Here are ten reasons. #Cinderblocks6
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Simple Interop for Healthcare (Wes Rishel)
- 1. Simple Interop for Healthcare in the US 25 January 2009 This work is licensed under the Creative Commons Attribution 3.0 United States License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/us/ or send a letter to Creative Commons, 171 Second Street, Suite 300, San Francisco, California, 94105, USA. If this work is shared or adapted the original work should be attributed to Wes Rishel of McKinleyville, CA and include a citation to http://blogs.gartner.com/wes_rishel
- 8. The Goal (A Challenge): Start by Doing Slightly Better Than the Fax Machine
- 20. Simple Interop at Its Simplest
- 21. Simple Interop Multiple Roles
- 30. PHR
- 45. Revision History 21 Jan 10 original 23 Jan 10 typos 24 Jan 10 added use cases 25 Jan 10 Removed disease registry discussion to avoid complications about discussing consent for aggregation (other than the PHR). Miscellaneous changes based on comments.
Editor's Notes
- Meaningful Use and Certification: Are the EHR Incentives Worth the Effort? Healthcare November 8-10, 2009 La Quinta Resort & Club La Quinta, CA Wes Rishel and Tom Handler This presentation, including any supporting materials, is owned by Gartner, Inc. and/or its affiliates and is for the sole use of the intended Gartner audience or other authorized recipients. This presentation may contain information that is confidential, proprietary or otherwise legally protected, and it may not be further copied, distributed or publicly displayed without the express written permission of Gartner, Inc. or its affiliates. © 2009 Gartner, Inc. and/or its affiliates. All rights reserved. Notes accompany this presentation. Please select Notes Page view. These materials can be reproduced only with written approval from Gartner. Such approvals must be requested via e-mail: vendor.relations@gartner.com. Gartner is a registered trademark of Gartner, Inc. or its affiliates.
- An Older Person’s Joke There are these two young fish swimming along and they happen to meet an older fish swimming the other way, who nods at them and says “Morning, boys. How’s the water?” And the two young fish swim on for a bit, and then eventually one of them looks over at the other and goes “What the hell is water?” (From David Foster Wallace, novelist, speaking at Kenyon College, 2005.)