evital records initiative
DESCRIPTION
eVital Records Initiative. What we learned and w hat comes next. Today’s objectives. Healthcare & informatics key terms Project description Our findings Next steps. Collaboration. Centers for Disease Control & Prevention (CDC) National Association for Public Health & Information Systems - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/1.jpg)
eVital Records Initiative
What we learnedand what comes next
![Page 2: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/2.jpg)
Today’s objectives
0Healthcare & informatics key terms0Project description0Our findings0Next steps
![Page 3: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/3.jpg)
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
![Page 4: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/4.jpg)
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
![Page 5: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/5.jpg)
First step: Assessment
What is the current state of birth registration?0Follow process at one hospital0Document each step
Special thanks to Unity Hospital
![Page 6: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/6.jpg)
Current hospital birth registration process
![Page 7: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/7.jpg)
Initial assessment: current status
0Inefficient process0Manual data entry/transcription0Multiple data sources0State unable to assess data quality/validity0Exposure to extra patient health
information
![Page 8: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/8.jpg)
Informatics learning
0Healthcare Informatics = using technology to improve patient health
0 Interface = a link/where things connect or intersect0 Interoperability = useful interaction or movement
![Page 9: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/9.jpg)
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?
![Page 10: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/10.jpg)
Our solution: form manager
0Utilize a form manager to package information0Birth registrar will review & forward0Filled form sends data to birth record
![Page 11: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/11.jpg)
Informatics learning
3 Needs for interoperability:0Standards0Data must exist before it can move0Ability to send / Ability to accept data
![Page 12: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/12.jpg)
Multiple systems
Multiple stand-alone systems0Viewed through “portals”0Data transcription0Scanning as images
![Page 13: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/13.jpg)
Next Step: Test & Demonstrate
Proof of Concept demonstrated to several audiences0 30% data mapped0Form Manager received & sent0Vital record populated
![Page 14: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/14.jpg)
Positive Feedback
Great idea!Innovative!Extend to other thingsSend everything this wayThink about bi-directionalityHow soon can we implement?
![Page 15: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/15.jpg)
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
![Page 16: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/16.jpg)
New problem: non-discrete data
0EHR created for clinician ease of use0Narratives0 “Smart phrases”
![Page 17: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/17.jpg)
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?
![Page 18: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/18.jpg)
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
![Page 19: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/19.jpg)
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
![Page 20: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/20.jpg)
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
![Page 21: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/21.jpg)
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
![Page 22: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/22.jpg)
Our recommendations
0Align policies0Seek support from ONC0Continue expanding & testing 0Develop informatics-savvy
0 Vital records offices0 Stakeholders
![Page 23: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/23.jpg)
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
![Page 24: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/24.jpg)
In summary
The eVital Records project is complete0Tested electronic exchange of data from EHR to MR&C0Documented current process0Proposed future process0Noted potential barriers
![Page 25: eVital Records Initiative](https://reader036.vdocument.in/reader036/viewer/2022062501/5681628e550346895dd2fb10/html5/thumbnails/25.jpg)
Thank you!eVital Records Initiative