“In God we trust……all others bring data….”

Foundations of CQI: Elements of Data Collection, Sharing, and

Learning

The Challenge

Challenges

• Money– Time & personnel for data entry

– Software

– Hardware

• Data compatibility– Within institutions

– Between institutions

– With neonatal / pediatric

– National initiatives

Challenges

• Who owns the data

• Data governance / management

• Misuse / abuse of data– Marketing– Competition– Payer leverage– Formal data agreements

Other challenges

• What do we collect• What do we measure

– Structure– Process / system– Outcome

• Standardization– Outcomes– Definitions

Current Options

• Existing data groups

• Commercial products– NPIC– AWHONN

• Something new– Independent– Lobby national organizations

Limitations

• Current – mostly administrative datasets– Financial / coding

• Outcomes oriented– Limited insight into process and structure

• Limited datasets– VON – VLBW infants; limited maternal data

• Limited linkage between mother & infant• ‘Garbage in – garbage out’

Opportunities

Opportunities

• Establish standardized dataset

• Links with registries and other databases– Direct link with EMR’s– Birth certificate, other

• Define our own measures

• Leadership in national measures

Emerging Stories

February 21, 2008,  1:13 am Google Health Begins Its Preseason at Cleveland Clinic

Other opportunities

• Partnerships– Tech industry

• SAS, Google, Microsoft, STI, Premier……

– ACOG, NQF, IHI, other– PQCNC– CMS, other payers– ‘VON-P’