J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs.

Tópicos

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{ age(1611) year(1155) adult(843) }
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Resumo

The increased need for interoperable electronic health records in health care organizations underscores the importance of standards. The US Department of Veterans Affairs (VA) has a long history of developing and adopting various types of health care data standards. The authors present in detail their experience in this domain. A formal organization within VA is responsible for helping to develop and implement standards. This group has produced a Standards Life Cycle (SLC) process endorsed by VA key business and information technology (IT) stakeholders. It coordinates the identification, description, and implementation of standards aligned with VA business requirements. In this paper, we review the adoption of four standards in the categories of security and privacy, terminology, health information exchange, and modeling tools; emphasizing the implementation approach used in each. In our experience, adoption is facilitated by internal staff with expertise in standards development and adoption. Use of processes such as an SLC and tools such as an enterprise requirement repository help formally track and ensure that IT development and acquisition incorporate these standards. An organization should adopt standards that are aligned with its business priorities and favor those that are more readily implementable. To assist with this final point, we offer a standard "Likelihood of Adoption Scale," which changes as standards specifications evolve from PDF documents only, to PDF documents with construction and testing tools, to fully functional reference implementations.

Resumo Limpo

increas need interoper electron health record health care organ underscor import standard us depart veteran affair va long histori develop adopt various type health care data standard author present detail experi domain formal organ within va respons help develop implement standard group produc standard life cycl slc process endors va key busi inform technolog stakehold coordin identif descript implement standard align va busi requir paper review adopt four standard categori secur privaci terminolog health inform exchang model tool emphas implement approach use experi adopt facilit intern staff expertis standard develop adopt use process slc tool enterpris requir repositori help formal track ensur develop acquisit incorpor standard organ adopt standard align busi prioriti favor readili implement assist final point offer standard likelihood adopt scale chang standard specif evolv pdf document pdf document construct test tool fulli function refer implement

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