Open data for innovation in governance
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This document discusses healthcare interoperability standards. It covers the need for standardization in areas like minimum data sets, code directories, unique identifiers, registries, and data privacy. The document provides examples of challenges around adopting standards, including ensuring identifiers and registries are properly synced across systems to avoid misidentification. It also discusses the importance of clearly defining minimum data sets and code directories to facilitate data integration, analytics and exchange.
Open data for innovation in governance
- 1. 08 AUG 2013 CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION. Contact: Dr Pankaj Gupta Partner, Taurus Glocal Consulting Board Member HIMSS Asia-Pacific-India Chapter HIR @ The International Centre for Health Innovation, Richard Ivey School of Business, Canada Website: www.taurusglocal.com Blog: http://www.healthcareitstrategy.blogspot.com/ LinkedIn: http://www.linkedin.com/in/drpankajgupta Open Data for Innovation in Governance
- 2. ORIGIN OF STANDARDS R A I L W A Y G A U G E S T A N D A R D Meter Gauge Scotch 4 ft 6 in (1,372 mm) Cape 3 ft 6 in (1,067 mm) Standard Gauge 4 ft 8 1⁄2 in (1,435 mm) (Stephenson gauge) Broad Gauge Indian 5 ft 6 in (1,676 mm) O R I G I N O F T H E S T A N D A R D ?
- 3. PARADIGM SHIFTS QUESTION STANDARDS P A R A D I G M S H I F T I N I N D U S T R Y S T A N D A R D S D E B A T E : T I M E I S C Y C L I C A L O R L I N E A R ? 25 December 1969: While Swiss watch makers were playing one-upmanship with their mechanical watches Seiko Japanese company unveiled the world's first quartz wristwatch - the 35SQ Astron Watch 2013: Sony has launched mobile phone watch. Now will time become multi-dimensional?!
- 4. ADOPTION OF STANDARDS DEPENDS ON PERCEPTION BIRD OR A RABBIT?
- 5. HEALTHCARE STANDARDS Interoperability Standards Minimum Data Sets and Data Standards Standard Code Directories Standard Meta Data for Semantics Standard Ref Architecture Standard Interfaces HIPAA Title II: Preventing Health Care Fraud and Abuse; Administrative Simplification; Medical Liability Reform Data Privacy Transactions and Code Sets Data Security Unique Identifiers
- 6. INTEROPERABILITY STANDARDS: E.G. CANADA HEALTH INFOWAY BLUEPRINT
- 7. UNIQUE IDENTIFIERS AND REGISTRIES Health information exchange between systems Facility Registry Physician Registry Patient Registry Disease Registry Document Registry Integration between systems All IDs to be Unique Registries to be in Sync Avoid: Dr Om Prakash Singh in ENT vs Dr OP Singh in Otolaryngology?
- 8. DEFINE MINIMUM DATA SETS H I S T O R I C A L P E R S P E C T I V E Hb < 7 Hb > 7 IFA Tablets Given : Report in blocks of 100 100 Tablets Given? or Tablets given to 100 Women? C L E A N S L A T E P E R S P E C T I V E Define Min Data sets that can be used by all applications Lab Test Type = Hb Lab Test Value = 5, 7, 9, 11, 13 Define meta data for clear semantics of Data Elements and Indicators
- 9. CODE DIRECTORIES Master Data integration challenge – codify diagnosis, procedures and order sets Data Analytics challenge - standard terminology for clinical notes Diabetes with MI discharged with B-blocker Diabetes with Coronary Atherosclerosis discharged with B-blocker Type-II Diabetes with CHF discharged with Metoprolol
- 10. DATA PRIVACY Protected Health Information (PHI) Right to keep personal information from outside world Hospital staff, in-house and outsourced IT staff may be authorized to see data and may disclose it inappropriately Protect sensitive information – PNDT and MTP Act Positive results for sensitive Lab tests - HIV etc. Public health research - Anonymised data Don’t want data of one landing up on another’s desk - People master, Dept master to be in sync in integrated systems Dr Parminder Singh = Dr P Singh ! Dr Paramjit Singh = Dr P Singh ?
- 11. THANKS!