HS420 Health InformaticsMichele Smith, PharmD, RPh, RCph

Unit SevenData Quality Tools

AGENDA

• Looking Back at Unit 6• Unit Topics• Looking Ahead• Reading Tips• Discussion Tips• Project Tips• Writing Assignment Tips• Quiz Tips• Interactive Discussion• Summary• Questions

A Peak Back at Unit 6

• Reading assignments:– Medical Informatics 20/20, Chapters 8, 9 and 10– AHIMA articles on requests for proposal and EHR

implementations

• Discussion on EHR Implementations• Writing assignment on the Information

Systems Life Cycle

Unit 7 Topics

• Assessing EHR Data Quality• The Data Quality Management Model• The Need for Quality Improvement• The Collaboration Strategy for Quality Management• Process Improvement Strategies• Clinical Decision Support and Evidence-Based

Medicine• Case Studies in Collaboration and Innovation for

Quality• Value Measurements and the Effect on Quality

Reading Tips

• Medical Informatics 20/20– Chapter 11: Universal Strategies and Tactics for Quality and

Performance Excellence – Chapter 12: Case Studies in Collaboration and Innovation

for Quality – Chapter 13: Value Measurement and Return on Investment

• AHIMA Practice Briefs: – Assessing and Improving EHR Data Quality – Managing and Improving Data Quality – Data Quality Management Model

• AHIMA Journal Article: – Quality Data and Documentation for EHRs in Physician

Practice

Discussion Tips

• Review the data quality management model. How can this be used to help improve data quality? How can it be used to help manage an EHR implementation?

• Why is collaboration important? How can collaboration improve healthcare data quality? What tools can be used to help encourage collaboration?

Project Tips

• Develop a formal policy and procedure for the HIM department at your facility to use to manage data quality in the EHR.   It does not need to be comprehensive but can focus in a specific area of data quality of your choice that is part of the data quality management model.

Writing Assignment Tips

• Review the Data Quality Management Model.   Write a one-page synopsis describing the tools and procedures that can be used to ensure that an Electronic Health Record contains quality data.

Quiz Tips

• Data Outcome Initiatives• Data Characteristics or elements of data quality or dimensions

in data quality (data consistency, data comprehensiveness, etc.)• Clinical Decision Support System (two types)• SDLC• Data Warehouse• Consumer-centric Application (PHR)• Data Quality Management Model• Revenue Cycle and Data Accuracy• Explicit and Tacit Knowledge used for healthcare quality• Four levels of ROQ and ROI Analysis

Data Quality Tools

Lecture

Six Aims for Improvement

• Safe• Effective• Patient-Centered• Timely• Efficient• Equitable

Tactical Areas

• Leadership and Open Collaboration• Public-Private Collaboration• Knowledge Management

Innovation Strategies

• Process Improvement• Innovation Methodologies• Applied Knowledge

Methodology for Improving Existing Processes

• Define• Measure• Analyze• Improve• Control

Collaborative Innovation

• Coordination• Cooperation• Collaboration• Creation• Communication

Applied Knowledge

• Clinical Decision Support• Evidence-Based Medicine• Knowledge on Demand• Business Intelligence (BI)

Value Measurement and the EHR

• Pay-for-Performance• Value-based Reimbursement• Return on Investment (ROI)

Value Measurement

• Return on Quality• Reasonability Check• Relevance to Institutional Goals• ROI Analysis

Value and ROI Findings

• Health Information Exchange and Interoperability

• EHR Systems• Clinical Decision Support Systems and Tools• E-Prescriptions• Computerized Provider Order Entry (CPOE)

EHR Implementation Savings

• Reduced Transcription Costs• Savings for paper-chart-related costs• Improved staff efficiency

– Coding– Charge Capture– Productivity

EHR Data Quality

• Data Capture• Documentation Improvement• Documentation Guidelines and Data

Standards

Data Quality Best Practices

• Access permissions• Data Dictionary• Standardized Format• State and Federal Laws• Data Integrity Policies and Procedures

Challenges to Data Quality

• Master Patient Index (MPI)• Current Systems Analysis

Checklist to Assess Data Quality

• Application• Collection• Warehousing• Analysis

Summary

• Assessing EHR Data Quality• The Data Quality Management Model• The Need for Quality Improvement• The Collaboration Strategy for Quality Management• Process Improvement Strategies• Clinical Decision Support and Evidence-Based

Medicine• Case Studies in Collaboration and Innovation for

Quality• Value Measurements and the Effect on Quality

QUESTIONS???