Enabling health information exchange at a US Poison Control Center
| Autor: | Pallavi Ranade-Kharkar, Andrew Iskander, Aly Khalifa, Darren K. Mann, Heather Bennett, Guilherme Del Fiol, Barbara Insley Crouch, Sidney N. Thornton, Todd L. Allen, Mollie R. Cummins, Matt Hoffman |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Process management
Health Information Exchange Poison Control Centers Computer science Process (engineering) workflow Dashboard (business) Health Informatics Clinical Document Architecture Research and Applications health information interoperability 03 medical and health sciences 0302 clinical medicine Health informatics tools Utah Information system Humans 030212 general & internal medicine Referral and Consultation Health Level Seven patient care 030208 emergency & critical care medicine Health information exchange computer.file_format Workflow Informatics Emergency Service Hospital computer |
| Zdroj: | Journal of the American Medical Informatics Association : JAMIA |
| ISSN: | 1527-974X 1067-5027 |
| Popis: | Objective The objective of this project was to enable poison control center (PCC) participation in standards-based health information exchange (HIE). Previously, PCC participation was not possible due to software noncompliance with HIE standards, lack of informatics infrastructure, and the need to integrate HIE processes into workflow. Materials and Methods We adapted the Health Level Seven Consolidated Clinical Document Architecture (C-CDA) consultation note for the PCC use case. We used rapid prototyping to determine requirements for an HIE dashboard for use by PCCs and developed software called SNOWHITE that enables poison center HIE in tandem with a poisoning information system. Results We successfully implemented the process and software at the PCC and began sending outbound C-CDAs from the Utah PCC on February 15, 2017; we began receiving inbound C-CDAs on October 30, 2018. Discussion With the creation of SNOWHITE and initiation of an HIE process for sending outgoing C-CDA consultation notes from the Utah Poison Control Center, we accomplished the first participation of PCCs in standards-based HIE in the US. We faced several challenges that are also likely to be present at PCCs in other states, including the lack of a robust set of patient identifiers to support automated patient identity matching, challenges in emergency department computerized workflow integration, and the need to build HIE software for PCCs. Conclusion As a multi-disciplinary, multi-organizational team, we successfully developed both a process and the informatics tools necessary to enable PCC participation in standards-based HIE and implemented the process at the Utah PCC. |
| Databáze: | OpenAIRE |
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