-
digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
December 01, 2005 - • Coding Standards
– LOINC, ICD-9, CPT, NDC, RxNorm, Snomed CT, etc. … Problem: The key thing to remember about standards is that they are not
standard! … • May need face-to-face contact to address some problems.
– There are no standards for certain types … Advancing Excellence in Health Care
Technology: Standards
Solution: Don’t underestimate the effort … needed for conformance testing.
– Will need at least 1-2 FTEs to make sure that standards are working
-
digital.ahrq.gov/organization/reedsburg-area-medical-center
January 01, 2023 - an integrated EHR and CPOE to enhance access to clinical data, developed a workable model/plan for standards-based
-
digital.ahrq.gov/location/usa-wi-reedsburg
January 01, 2023 - an integrated EHR and CPOE to enhance access to clinical data, developed a workable model/plan for standards-based
-
digital.ahrq.gov/health-it-literacy-guide
January 01, 2023 - technology (IT) developers have little knowledge of populations with limited literacy and of the technical standards
-
digital.ahrq.gov/az-index/S
Social Determinants of Health
Social Media
Sociotechnical Aspects
Standards
-
digital.ahrq.gov/sites/default/files/docs/page/CDSC%20From%20Demonstration%20to%20Standard%20Practice%20-%20December%202011.pdf
December 06, 2011 - thorough testing
– Existing Technologies, i.e., Rules Engines
• Recognize Limitations in Current Standards … ’ open to variable interpretation
– Multiple reference vocabularies require decisions
– ‘Missing’ standards … • Accelerate the development or licensing of required, pragmatic standards.
-
digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_04032008.pdf
May 15, 2008 - of an individual’s medical history
in a container with
– patient control
– interoperability
– open standards … own medical
record
Openness
Open Systems
Can be extended to provide new capabilities
Open Standards … eeffffiicicieenncicieess
Open APIs
Allows building of applications on top of open
systems and using open standards … Allows compatible deployments
A research paradigm
Science 2007
Challenges
• Agreement on data standards … Public standards and patient control: how to keep electronic medical records
accessible but private
-
digital.ahrq.gov/ahrq-funded-projects/secure-architecture-exchanging-health-information-safehealth/final-report
January 01, 2023 - System
Electronic Health Record/Electronic Medical Record
Health Information Exchange
Internet
Standards
-
digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc/final-report
January 01, 2023 - Order Entry System
Electronic Health Record/Electronic Medical Record
Health Information Exchange
Standards
-
digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/final-report
January 01, 2023 - for e-Prescribing
Technology
Clinical Decision Support System
Electronic Prescribing
Standards
-
digital.ahrq.gov/care-setting/diagnostic-imaging-center
January 01, 2023 - Improving Rural Healthcare with Technology
Description
Utilized existing health IT standards
-
digital.ahrq.gov/ahrq-funded-projects/improving-rural-health-care-implementing-innovative-integration-solutions/final-report
January 01, 2023 - Implementing Innovative Integration Solutions
Technology
Health Information Exchange
Standards
-
digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-in/final-report
January 01, 2023 - Exchange
Clinical Information System
Public Health Reporting System
Secure Messaging
Database
Standards
-
digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-in/evaluation-report
January 01, 2023 - Exchange
Clinical Information System
Public Health Reporting System
Secure Messaging
Database
Standards
-
digital.ahrq.gov/principal-investigator/coleman-robert
January 01, 2023 - evaluated the results of the Consolidated Imaging—Picture Archiving and Communication System (a shared, standards-based
-
digital.ahrq.gov/sites/default/files/docs/pghd-slides-02222022.pdf
February 22, 2022 - PGHD in ambulatory setting
• Information about Federal-level legislation governing
• Data privacy
• Standardization … coordination
• iOS HealthKit is commonly used due to its maturity, which provides data and
security standardization … systems and EHR vendors directly integrate with Google’s
Android platform
• The use of interoperability standards … Network
omh
Remote BP Monitoring
(BPM) Dashboard at
Primary Care Clinic
using official open standards … collection and usage while maintaining patient trust
• A public digital utility that serves PGD as standards-based
-
digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-az
January 01, 2022 - authentication approach for providers to access an HIE which included an extensive research on national standards
-
digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-oh
January 01, 2023 - for state of Ohio for the purpose of gaining patient consent to share their data electronically and a standards-based
-
digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc
January 01, 2023 - physicians and competing community hospitals do not engage in efforts to deploy interoperable systems with standards … Entry System , Electronic Health Record/Electronic Medical Record , Health Information Exchange , Standards … Entry System , Electronic Health Record/Electronic Medical Record , Health Information Exchange , Standards
-
digital.ahrq.gov/loinc
January 01, 2023 - Areas of Current Investigation
LOINC is one of a suite of designated standards for use in U.S. … Healthcare Information Technology Standards Panel .