For this Application Assignment, review the information presented in this week’s Learning Resources about the relationship between the standardized representation of health information and the delivery of care to improve patient health. Consider your own health care organization (or one with which you are familiar) and reflect on the work that providers do there on behalf of patients and the various ways in which standardized health information is used in that work.
To complete this Application Assignment, write a 2- to 3-page paper in which you build a multi-stage scenario that involves a patient who has been hospitalized with a particular diagnosis and that reflects”for each stage of the scenario (i.e., at each stage of the patient’s care)”the identification of an applicable health information standard.
First, explain what the patient’s diagnosis is and identify which system you would use to classify it, why you would use that particular system, and how that system would work to classify the diagnosis.
Second, specify a procedure or medication used to treat the patient, then identify what system you would use to describe that treatment and why.
Third, once the patient is ready to be discharged from the hospital, indicate whether that patient is fully recovered or needs follow-up care, then identify what data set standard or data interchange standard would be appropriate for use at this point in the process and why.
Lastly, explain how the use of health information standards contributed as part of an overall continuum to the delivery of patient care and, ultimately, to the improved health of the patient.
• Article: Chute, C. G., Cohn, S. P., Campbell, K. E., Oliver, D. E., & Campbell, J. R. (1996). The content coverage of clinical classifications. For the computer-based patient record institute’s work group on codes & structures. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC116304/pdf/0030224.pdf
This article discusses the need for a standard vocabulary to represent data consistently when using computer-based records and explains how this will then facilitate clinical decision support, research, and efficient care delivery.
• Article: Kush, R., Helton, E., Rockhold, F., & Hardison, C. (2008). Electronic health records, medical research, and the tower of Babel. The New England Journal of Medicine, 358(16), 1738-1740.
Retrieved from http://proquest.umi.com.ezp.waldenulibrary.org/pqdweb?did=1464139331&sid=3&Fmt=4&clientId=70192&RQT=309&VName=PQD
This article considers the potential benefits of data standards for health care and medical research.
• Article: Stead, W. W., Kelly, B. J., & Kolodner, R. M. (2005). Achievable steps toward building a national health information infrastructure in the United States. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC551543/pdf/113.pdf
This article offers suggestions for facilitating health care reform through the implementation of a health care communication infrastructure.
• Article: Hammond, W. E. (2008). A perspective on interoperability. Retrieved from http://www.ehealth-connection.org/files/conf-materials/Perspective%20on%20Interoperability_0.pdf
This article discusses the various standards for health information technology and considers how true interoperability could be achieved.
• Article: Kim, K. (2005). Clinical data standards in health care: Five case studies. Retrieved from http://www.chcf.org/publications/2005/07/clinical-data-standards-in-health-care-five-case-studies
This online document presents five different case studies that demonstrate how data standards are currently being used in a diversity of health care organizations and health care-related settings.
Note: Read the section “How Standards Are Being Used: Five Case Studies.”
• Article: Quinn, J. (2008). Health information technology architecture vs. semantic interoperability: One reason why health information technology (HIT) interoperability standards can’t achieve the “vision.” Retrieved from http://www.ehealth-connection.org/files/conf-materials/Health%20Information%20Technology%20Architecture%20v.%20Semantic%20Interoperability_0.pdf
This article examines information technology architectures commonly found in electronic health records and clinical information system software applications.
• Article: Spooner, S. A., & Classen, D. C. (2009). Data standards and improvement of quality and safety in child health care. Retrieved from http://pediatrics.aappublications.org/content/123/Supplement_2/S74.full.pdf+html
This article discusses the need for pediatric health care providers to actively recognize and support coordinated data standards as a means of improving the quality of care delivered to pediatric patients and, ultimately, improving patient health outcomes.