Definition of Data Standard for Electronic Data Exchange?
Provide the ability to record a certain data item in accordance with the agreed upon standard. (provide acceptable values for data fields) - Data Exchange Standards are protocols that help ensure that data transmitted from one system to another remain comparable - Transmission standards support format and sequence of data during transmission.
ANSI ASC X23N these are what?
Transaction standards deal with?
Claims processing and Billing processing.
When you hear the the word interoperability think ?
Information exchange through out the country.
Benefits of data exchange are Standards that provide common language some of the benefits of data exchange are:
Exchange information - Share information - Communicate within and across disiplines and settings - Integrate disparate data systems - Compare information at a regional, national, and international level - Link data in a secure environment.
The ability to exchange, share, communicate, integrate, compare and link data is important to healthcare deliver. These activities make possible important activities such as:
Disease surveillance - Health and healthcare population monitoring - Outcomes research - Decision making and policy development.
Disease surveillance is used by who and for what?
The CDC is able to benchmark from extracted data.
Give an example of how Health and Healthcare population monitoring might be used?
Asthma sufferers in certain areas.
Give an example of how decision making and policy development might be used?
Collected data on premises in Suffolk show twice as many births are underweight than in Chesapeake. The Health Dept. would check with Suffolk and might educate pregnant mothers on the dangers of smoking and doing drugs during pregnancy.
The first known efforts to collect and use healthcare data to produce meaninful statistical profiles date back to when and who gathered that data?
The early 1600s - Captain John Graunt.
What type of data and where was the data gathered by Captain John Graunt? What did he call his study?
Common causes of death in London - The Bills of Mortality.
Identify data elements to be collected on each patient - Uniform definitions for common terms.
Data sets do not limit what data can be collected but do what?
Outline what will be collected, but the elements will drive what data will be collected if we want to benchmark we need to make sure we are comparing apples to apples and not apples to oranges.
CCR is part of the second type of stanard known as Content Exchange Standards what does CCR stand for and what is it?
Continuity of Care Record. Core set of data that is tranferable - Designed to be organized and transportable - Relevant current and past information about health status and treatment.
CCD is part of the second type of stanard known as Content Exchange Standards what does CCD stand for and what is it??
Continuity of Care Document. - Developed as a collaborative effort between ASTM and HL7 to leverage CDA with the CCR specifications.
CDA is part of the second type of stanard known as Content Exchange Standards what does CDA stand for and what is it??
Exchange model for clnical documents - Makes documents macine-readable so that they can be easily processed electronically.
UHDDS and UACDS data were originally collected for paper-based (manual) health record systems. They were not designed to accomodate what?
Data needs of the current healthcare delivery system or the demands of EHRs and clinical information systems.
HL7 EHR-S functional Model and Standards?
Health Level 7 - Record, struction & content of clinical data - Exchange, integration, sharing, and retrieval of Electronic health information. Documents are machine readable.
If we are now able to have data exchange we are able to have benefits of ?
Exchanging, sharing, benchmarking as a result we are able to conduct activities that are population health, more positive better outcomes, disease monitoring etc. many benefits and activities
This permanent office was established under ARRA?
ONC - Office of National Coordinator.
ONC was established and charged with doing what?
A high tech act established under ARRA approrpated a lot of money to help support IT , established a permanent office. Developed national health IT infrastructure to improve the quality and efficiency of healthcare and the ability of consumers to manage their care and savety.
American Recovery and Reinventment act did what?
Made ONC a permanent office - Provided funds for standards, health information exchange and implementation assistance - Established standards, implementation specification and certification criteria for certification of EHR technology.
Heatlh Inforamtion Technology Policy Committee - Recomments to the National Coordinator on a policy framework for the development and adoption of a national health information technology infrasturcture.
What does the HITSC do?
Health Information Technology Standards Committee - Recommends to the National Coordinator on standards, implementation specification and certification criteria for electronic exchange and use of health information.
The term "standard" is a well-defined approach that supports a business proces and has characteristics. Give examples of these characteristics.
agreed upon by a group of experts - been publicly vetted - provides rules, guidelines, or characteristics - availabe in an accessible format - subject to ongoing review - ensures materials, products, processes, and services are fit for thie intended purpose.
Name the 6 SDO's we must be familiar with.
ASC X12 - ADA - ASTM International - HL7 - IEEE - NCPDP
What is IEEE and what does it do?
Institute of Electrical and Electronic Engineers - Links between critical care "bedsied" instruments and clinical information systems. (Equipment machines, bedside & telemedicine).
What is ASC X12 and what does it do?
Accredited Standards Committee - Standards for business transactions for Health care claims and billing.
What is ADA and what does it do?
American Dental Association - Develops dental standards.
What is ASTM International and what does it do?
Formerly known as the American Society for Testing and Materials. Standards for Lab dtaty.
What is HL7 and what does it do?
Health Level 7 - (Think clinical data). Develops messaging, data content, and document standards to suppor the exchange of clinical information.
What is NCPDP and what does it do?
National Council for Prescription Drug Programs - Develops standards for prescription and payment information.
What orginazation (institute) coordinates the standards of all SDOs so that they do not duplicate?
ANSI - The American National Standards Institute.
What are the 4 different types of standards?
Structure and content Standards - Content Exchange Standards - Vocabulary Standards - Privacy and Security Standards.
What is the 1st type of standard and what does it do?
Structure and content standards. - Establish and provide clear and "uniform definitions for fields (data elements) in the EHR.
What is the 2nd type of standard and what does it do?
Content Exchange Standards. - a core data set of relevant current and past information about a patient's health status and healthcare treatment. (Includes the CCR, CDA, and CCD)
What is the 3rd type of standard and what does it do?
Vocatulary Standards - Provide common definitions for medical terms. Include vocabularies, code sets, and nomenclatures (a set or system of names or terms, as those used in a particular science or art, by an individual or community, etc).
What is the 4th type of standard and what does it do?
Privacy and Security Standards - Protects personal health information (define appropriate use and what is not appropriate use of health care data). Implemented throughout healthcare.
What is Digital Imaging and Communication in Medicine?
Cooperative effort between the American college of Radiology and National Electrical Manufacturers Association (ACR-NEMA) - Creates the standards that allow the exchange of images.
What is XML?
Extensible markup language. - Universal language to be able to facilitate and store data and transmission of data published on the internet.
What is Metadata?
Data about data: for example, creation dates, date sent, date received, last access date. (controversy is going on about this type of data).