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HealthCare Data Standardization

HealthCare Data Standardization

Sample Answer 

HealthCare Data Standardization

Language should play an important role in the selection of a new system. Because applicants may not know or understand the local language, language must be standard to avoid confusion about what terms are acceptable to use, particularly in documentation, so that everyone is on the same page.

The new system should take into account global standard languages and coding systems. This will aid in the smooth and consistent operation of the healthcare industry.

The work done in the old system to build the screens and develop the terms used for documentation and care should not be used in the new system. This may cause a delay in customizing the new system; therefore, the best option would be to use a completely new but standard and customized system.

Involving clinical staff in the development of the new system will allow them to participate and share suggestions and feedback. Incorporating their suggestions and feedback into the new system’s customization will increase its efficiency and output by meeting the needs of the clinic.

The clinical staff should be involved in the upgrade of the older system; by including them in the upgrade process, the staff will have a better understanding of the need for the new system and will feel more included and accepting of the new system. Staff will also need to be trained on how to use the new system and learn the new terminology for documentation and why it is required.

References

Nelson, Ramona, and Nancy Staggers. Health informatics: An Interprofessional Approach. Mosby, 2018.

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Question 


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 into 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.

HealthCare Data Standardization

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 the 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 the existing system

· Identification of “work-a-round” solutions when using the 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

The presentation is free of spelling and grammar errors.

 

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