Case : Healthcare Data Standardization
Case : 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.
Case : Healthcare Data Standardization
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:
1· Identify two or more issues with the existing system
2· Provide staff with appropriate “work-around” for using the existing system
3· Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
– One standard language should pertain only to nursing
– One standard language should be multidisciplinary.
4· 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.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.