Download - eVital Records Initiative
eVital Records Initiative
What we learnedand what comes next
Today’s objectives
0Healthcare & informatics key terms0Project description0Our findings0Next steps
Collaboration0Centers for Disease Control & Prevention (CDC)0National Association for Public Health & Information Systems0MDH – Office of Vital Records0MDH – Office of Health Information Technology 0MN.IT – MN office of Information Technology0Allina Health0Essentia Health0Unity Hospital
September, 2012 – April, 2014
eVital Records hypothesis
Electronically exchange data from the EHR to MR&C This interoperability would: 0Be more efficient0 Improve accuracy of data0Be more secure0Reduce filing delays
First step: Assessment
What is the current state of birth registration?0Follow process at one hospital0Document each step
Special thanks to Unity Hospital
Current hospital birth registration process
Initial assessment: current status
0Inefficient process0Manual data entry/transcription0Multiple data sources0State unable to assess data quality/validity0Exposure to extra patient health
information
Informatics learning
0Healthcare Informatics = using technology to improve patient health
0 Interface = a link/where things connect or intersect0 Interoperability = useful interaction or movement
How? When? Who?
The eVital Records Project considered0EHR is compiled throughout the patient stay0When should the data move?0How to make the data useful?0What data should transfer?
Our solution: form manager
0Utilize a form manager to package information0Birth registrar will review & forward0Filled form sends data to birth record
Informatics learning
3 Needs for interoperability:0Standards0Data must exist before it can move0Ability to send / Ability to accept data
Multiple systems
Multiple stand-alone systems0Viewed through “portals”0Data transcription0Scanning as images
Next Step: Test & Demonstrate
Proof of Concept demonstrated to several audiences0 30% data mapped0Form Manager received & sent0Vital record populated
Positive Feedback
Great idea!Innovative!Extend to other thingsSend everything this wayThink about bi-directionalityHow soon can we implement?
More informatics learning
0Meaningful Use = an incentive program for electronic health record implementation0 Payments & fines0 Rolled out in stages
0HL7 = Standards0 Methods 0 Data sets 0 Language
New problem: non-discrete data
0EHR created for clinician ease of use0Narratives0 “Smart phrases”
What about demographic data?
Some things are not in EHR:0Mother’s education, place of birth, race0Father’s information0Child’s name
What or who is data source?
Unanswered questions
0What about updates to EHR?0 Corrections0 Lab values, etc.
0What about bi-directional exchange? 0 Name changes
0Who owns the data?0 Right to share it0 Right to correct it
Competing Resources:
0Facilities must comply with MU0Facilities also converting other systems
0 ICD 9 becomes ICD 100 Innovation takes $$ and time
0MDH has resource conflicts, too
Will it happen? Absolutely
OUR VISION:0Mother’s worksheet becomes a tablet or kiosk0Birth registrar counsels parents re: registration0Birth registrar reviews computer form 0Birth registrar combines demographic record with
medical record and submits birth record
Birth registrar becomes a specialized duty
Now is not the time
eVital records is still (slightly) ahead of its time0Other priorities at facilities0Other priorities at MDH0Lack of federal standards / mandates / funds0EHR data availability
Our recommendations
0Align policies0Seek support from ONC0Continue expanding & testing 0Develop informatics-savvy
0 Vital records offices0 Stakeholders
What does this mean to you?
0Short term: continue the great work0Long term:
0 Improved prenatal clinic to hospital communication0 Increased structured data in EHR0 Technology advances for parents’ reporting of
demographic data0 Specialized birth registrars
In summary
The eVital Records project is complete0Tested electronic exchange of data from EHR to MR&C0Documented current process0Proposed future process0Noted potential barriers
Thank you!eVital Records Initiative