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Michael Hunt

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  • EP02 - From mHealth to Interoperability and Beyond! (ID 42)

    • Event: e-Health 2017 Virtual Meeting
    • Type: e-Poster
    • Track: Clinical and Executive
    • Presentations: 1
      • Abstract
      • Slides

      Purpose/Objectives: Across the health care system data are collected daily using multiple standards, often not well aligned. People working within the system are looking for opportunities to improve alignment between standards, hoping to reduce data collection burden and improve understanding and use of data to support evidence-based decisions. This project provides an example where two organizations have collaborated with the end goal of improving the experience for stakeholders by reducing burden and in this presentation, we will share the process, and lessons learned from a pilot implementation. The Canadian Institute for Health Information (CIHI) and Canada Health Infoway (CHI) collaborated to enhance the clinical nomenclature standard used in laboratories across the country to incorporate information required to create management information that complies with the MIS Standards as a byproduct of the clinical reporting process. As such, one standard can be used to support data collection for multiple purposes. Collect once, use many! CIHI maintains the MIS Standards, which underlies the financial and statistical data reported to the provincial/territorial ministries of health. This data is used to produce financial and operational indicators of efficiency, to support funding methodologies and for comparative analysis and benchmarking. Infoway maintains the clinical nomenclature standard for the clinical laboratory. This standard is used to populate clinical data within the eHR and the jurisdictional LIS.

      Methodology/Approach: Flowing from the partnership between CHI and CIHI, a working group was established with joint membership. This working group of experts developed principles for the overall alignment between the two data standards. These principles were applied to over 30,000 codes and a new attribute added to the codes within the CHI clinical nomenclature standard. Since results are generally sent to a jurisdictional lab information system using the nomenclature standard code, the approach tested by a jurisdictional LIS was to a) identify those codes with the attribute of 'laboratory test' b) count the 'laboratory tests' performed by each lab c) categorize the tests by location of patient Pilot phase - will evaluate the feasibility of broader implementation, and will support the development of a more detailed implementation plan.

      Finding/Results: A pilot is currently underway and we expect to share the results and impressions from the pilot site at the eHealth conference in the spring, along with next steps.

      Conclusion/Implication/Recommendations: This project demonstrates the advantages of collaboration across standards organizations to reduce duplication, improve efficiency and support stakeholders when developing standards. Aligning standards so they can be used for multiple purposes helps the end user clarify and simplify data collection. This process can serve as a model for future work, as technology and more integrated systems demand that standards allow stakeholders to "collect once, use many".

      140 Character Summary: Canadian Institute for Health Information and Canada Health Infoway collaborated to align a laboratory nomenclature standard to be used for multiple purposes.

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