Data Project Plan for Hospital Participation in Community HIE Program
As an HIM data quality analyst, you know that information interoperability enables the movement of electronic health information to where and when it is needed to support individual healthcare needs and population-oriented uses. Select a population-oriented use such as disaster management, bioterrorism surveillance, or community health care tracking that would be important for health information exchange (HIE) between medical providers.
You work for a large county hospital interested in joining the community HIE to promote community health care tracking similar to Atrium Health. Read the HIMSS Interoperability Case Study – Atrium Health, July 2018.
Assignment Directions:
Create a 3- to 4-page data project plan for the hospital you work with to share information with Atrium Health as a part of the community HIE program.
You can accomplish this by (1) selecting a population-oriented use for electronic data (examples: disaster management, bioterrorism surveillance, community healthcare tracking); (2) advocating how information interoperability and information exchange can be efficiently achieved; and (3) demonstrating how data stewardship can be accomplished using secondary databases and population databases.
Your project plan should include:
1. Selection of a population-oriented use for electronic data that would be important to share with a community HIE program.
2. Using Microsoft Word or Excel, build a table for the information to be collected for the patients from your chosen population-oriented use. This data dictionary will be utilized by the community HIE for treating/identifying patients. The data dictionary should have at least four columns, including:
o Field name
o Definition of field
o Format
o Example
The number of rows will depend upon the information you have decided important to be included based on the population-oriented use you have chosen. There should be at least eight columns, such as patient name, ID number, provider, etc.
3. Definition and discussion of data integrity and documentation integrity.
4. Discussion on the use of the HIE portal by clinical staff.
5. Discussion on how information interoperability and information exchange could be efficiently achieved with Atrium Health and other medical providers within the community.
6. Definition and discussion on data governance, data stewardship, population database, and secondary database.
7. Identify and discuss two positive outcomes as stated by Atrium Health through community HIE.
8. Identify two key concerns moving forward with expanding the HIE network throughout the community as Atrium Health states with ongoing challenges.
Data Project Plan for Hospital Participation in Community HIE Program
1. Selection of Population-Oriented Use:
For the hospital's participation in the community HIE program, the selected population-oriented use is community health care tracking. This will enable the hospital to monitor the health status and trends of the community, identify potential health risks, and facilitate proactive interventions to improve overall community health outcomes.
2. Data Dictionary for Community HIE:
Field Name Definition Format Example
Patient Name Full name of the patient Text John Doe
ID Number Unique identifier for the patient Alphanumeric PAT123456
Provider Healthcare provider attending to the patient Text Dr. Smith
Diagnosis Medical condition diagnosed for the patient Text Hypertension
Medications Current medications prescribed to the patient Text Metformin, Lisinopril
Allergies Known allergies of the patient Text Penicillin
Vital Signs Recorded vital signs of the patient Numeric 120/80 (Blood Pressure)
3. Data and Documentation Integrity:
Data Integrity refers to the accuracy, consistency, and reliability of data throughout its lifecycle. Documentation Integrity ensures that all documentation related to patient care is complete, accurate, and timely. Maintaining data and documentation integrity is crucial for providing quality healthcare services and ensuring patient safety.
4. Use of HIE Portal by Clinical Staff:
Clinical staff can utilize the HIE portal to access real-time patient information, medical records, test results, and treatment history from other healthcare providers within the community. This facilitates informed decision-making, reduces duplicate tests, improves care coordination, and enhances patient outcomes.
5. Achieving Information Interoperability with Atrium Health:
Efficient information interoperability and exchange with Atrium Health and other medical providers can be achieved through standardization of data formats, use of common terminology (e.g., SNOMED CT), implementation of Health Level Seven (HL7) standards for data exchange, and secure data sharing protocols compliant with HIPAA regulations.
6. Data Governance, Stewardship, Population Database, and Secondary Database:
Data Governance involves defining roles, responsibilities, policies, and procedures for managing data assets effectively. Data Stewardship focuses on overseeing data quality, security, and compliance within the organization. Population Database stores aggregated health data of a specific population for public health analysis. Secondary Database contains additional patient information beyond the primary Electronic Health Record (EHR) system.
7. Positive Outcomes from Atrium Health Community HIE:
- Improved care coordination and transitions between healthcare providers.
- Enhanced access to comprehensive patient information leading to better clinical decision-making.
8. Key Concerns for Expanding HIE Network:
- Ensuring data security and privacy protection across a larger network.
- Addressing interoperability challenges with diverse IT systems and varying data standards among different healthcare organizations.
By implementing this data project plan, the hospital can effectively participate in the community HIE program, promote community health care tracking, and contribute to improved health outcomes for the local population while ensuring data integrity and governance.