Healthcare Data Standardization
Case Study
Read the following case study:
A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.
A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.
As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:
· Identify two or more issues with the existing system
· Provide staff with appropriate “work-around” for using the existing system
· Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
o One standard language should pertain only to nursing
o One standard language should be multidisciplinary.
· Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.
PowerPoint Presentation
Directions:
1. Review the case study.
2. Download the provided PowerPoint template to create a presentation that includes:
· Your name on the title slide of the presentation
· Identification of two or more issues with existing system
· Identification of “work-a-round” solutions when using existing system
· Overview of standard language used only in nursing
· Overview of multidisciplinary standard language
· Set of five (5) open-ended survey questions for staff input on transitioning to the new system
· Presentation is free of spelling and grammar errors.
2. Submit the Week 10 Assignment via Blackboard by clicking on the “Week 10 Assignment” link. Include the proper file naming convention:
· CMP105_wk10_assn_jsmith_mmddyyyy.
References
Week 10: Healthcare Data Standardization
[Type your name here]
Type your name where indicated
1
Existing System Issues
[Using the Case Study, type in two or more issues or concerns identified with the existing system]
Identify two or more issues with the existing system
2
Existing System “Work-a-rounds”
[Type in recommendations for improving efficiency using the existing system]
Recommend specific recommendations for improving efficiency using the existing system
3
Overview of Nursing Standard Language
[Type in your overview of a Standard Language used only for nurses]
Choose from one of the following languages:
CCC
ICNP
NANDA-I
NIC
NOC
OS
PPDS
Overview should include a brief description, how frequently it is updated, and available cross-maps]
Type in your overview of a Standard Language used only for nurses]
Choose from one of the following languages:
CCC
ICNP
NANDA-I
NIC
NOC
OS
PPDS
Overview should include a brief description, how frequently it is updated, and available cross-maps
4
Overview of Multidisciplinary Standard Language
[Type in your overview of a multidisciplinary Standard Language Choose from one of the following languages:
LOINC
SNOMED CT
ABC Codes
CPT
Overview should include a brief description, how frequently it is updated, and available cross-maps]
Type in your overview of a multidisciplinary Standard Language Choose from one of the following languages:
LOINC
SNOMED CT
ABC Codes
CPT
Overview should include a brief description, how frequently it is updated, and available cross-maps
5
Staff Survey
[Create a set of 5 open-ended questions designed to obtain feedback from the clinical staff
Focus of questions is ideas and suggestions of specific methods to support transition from existing system to new system
Might include questions related to training, transitioning data from existing system, system downtime, etc.]
Create a set of 5 open-ended questions designed to obtain feedback from the clinical staff
Focus of questions is ideas and suggestions of specific methods to support transition from existing system to new system
Might include questions related to training, transitioning data from existing system, system downtime, etc.
6
