Appl Clin Inform - Implementing SNOMED CT for Quality Reporting: Avoiding Pitfalls.

Tópicos

{ use(976) code(926) identifi(902) }
{ ehr(2073) health(1662) electron(1139) }
{ concept(1167) ontolog(924) domain(897) }
{ record(1888) medic(1808) patient(1693) }
{ clinic(1479) use(1117) guidelin(835) }
{ perform(999) metric(946) measur(919) }
{ implement(1333) system(1263) develop(1122) }
{ studi(2440) review(1878) systemat(933) }
{ can(774) often(719) complex(702) }
{ take(945) account(800) differ(722) }
{ case(1353) use(1143) diagnosi(1136) }
{ research(1085) discuss(1038) issu(1018) }
{ spatial(1525) area(1432) region(1030) }
{ first(2504) two(1366) second(1323) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ data(1737) use(1416) pattern(1282) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ algorithm(1844) comput(1787) effici(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ high(1669) rate(1365) level(1280) }
{ result(1111) use(1088) new(759) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ age(1611) year(1155) adult(843) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

JECTIVE: To implement the SNOMED CT electronic specifications for reporting quality measures and to identify critical issues that affect implementation.BACKGROUND: The Centers for Medicare and Medicaid (CMS) have issued the electronic specifications for reporting quality measures requiring vendors and hospital systems to use standardized data elements to provide financial incentives for eligible providers.METHODS: The electronic specifications from CMS were downloaded and extracted. All SNOMED CT codes were examined individually as part of the creation of a mapping table for distribution by a vendor for incorporation into electronic health record systems. A qualitative and quantitative evaluation of the SNOMED CT codes was done as a follow up to the mapping project.RESULTS: A total of 10643 SNOMED codes were examined for the 44 measures. The approved SNOMED CT code sets contain aberrancies in content such as incomplete IDs, the use of description IDs instead of concept IDs, inactive codes, morphology and observable codes for clinical findings and the inclusion of non-human content.CONCLUSION: Implementers of these approved specifications must do additional rigorous review and make edits in order to avoid incorporating errors into their EHR products and systems.

Resumo Limpo

jectiv implement snome ct electron specif report qualiti measur identifi critic issu affect implementationbackground center medicar medicaid cms issu electron specif report qualiti measur requir vendor hospit system use standard data element provid financi incent elig providersmethod electron specif cms download extract snome ct code examin individu part creation map tabl distribut vendor incorpor electron health record system qualit quantit evalu snome ct code done follow map projectresult total snome code examin measur approv snome ct code set contain aberr content incomplet id use descript id instead concept id inact code morpholog observ code clinic find inclus nonhuman contentconclus implement approv specif must addit rigor review make edit order avoid incorpor error ehr product system

Resumos Similares

J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,790565422996458 )
AMIA Annu Symp Proc - Impact of selective mapping strategies on automated laboratory result notification to public health authorities. ( 0,769265812851238 )
AMIA Annu Symp Proc - Standardizing Clinical Document Names Using the HL7/LOINC Document Ontology and LOINC Codes. ( 0,767381124483829 )
AMIA Annu Symp Proc - Practical challenges in the secondary use of real-world data: the notifiable condition detector. ( 0,734153844122492 )
J Biomed Inform - Clinical coverage of an archetype repository over SNOMED-CT. ( 0,704238015794166 )
BMC Med Inform Decis Mak - Clinician attitudes toward and use of electronic problem lists: a thematic analysis. ( 0,700515627299034 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,687542404693013 )
Methods Inf Med - Development of a system that generates structured reports for chest x-ray radiography. ( 0,685210469764141 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,675740358959268 )
J Am Med Inform Assoc - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. ( 0,675622235068304 )
J Am Med Inform Assoc - A corpus-based approach for automated LOINC mapping. ( 0,675528994859084 )
J Am Med Inform Assoc - How is the electronic health record being used? Use of EHR data to assess physician-level variability in technology use. ( 0,674329692712763 )
AMIA Annu Symp Proc - Indianapolis emergency medical service and the Indiana Network for Patient Care: evaluating the patient match algorithm. ( 0,673348283969032 )
Appl Clin Inform - Utilizing an electronic health record system to improve vaccination coverage in children. ( 0,672564980805879 )
AMIA Annu Symp Proc - Problem management module: an innovative system to improve problem list workflow. ( 0,672240161606037 )
AMIA Annu Symp Proc - Data Quality and Interoperability Challenges for eHealth Exchange Participants: Observations from the Department of Veterans Affairs' Virtual Lifetime Electronic Record Health Pilot Phase. ( 0,671455989494463 )
J Biomed Inform - Cross-terminology mapping challenges: a demonstration using medication terminological systems. ( 0,669666415710769 )
IEEE J Biomed Health Inform - Service for the pseudonymization of electronic healthcare records based on ISO/EN 13606 for the secondary use of information. ( 0,666043786971719 )
Methods Inf Med - A characterization of local LOINC mapping for laboratory tests in three large institutions. ( 0,662890910542005 )
Perspect Health Inf Manag - Identifying patients with hypertension: a case for auditing electronic health record data. ( 0,660528784688559 )
AMIA Annu Symp Proc - Automatically detecting problem list omissions of type 2 diabetes cases using electronic medical records. ( 0,656493040369254 )
AMIA Annu Symp Proc - Characterizing the use and contents of free-text family history comments in the Electronic Health Record. ( 0,655221788982592 )
J Am Med Inform Assoc - Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. ( 0,653224164459021 )
Perspect Health Inf Manag - A journey through meaningful use at a large academic medical center: lessons of leadership, administration, and technical implementation. ( 0,653119408503983 )
J Biomed Inform - An approach to improve LOINC mapping through augmentation of local test names. ( 0,64551758127381 )
J Am Med Inform Assoc - A nationwide medication incidents reporting system in The Netherlands. ( 0,643040791241533 )
AMIA Annu Symp Proc - Electronic laboratory data quality and the value of a health information exchange to support public health reporting processes. ( 0,638481921906816 )
J Biomed Inform - Using the ResearchEHR platform to facilitate the practical application of the EHR standards. ( 0,638013863373416 )
AMIA Annu Symp Proc - Investigating the semantic interoperability of laboratory data exchanged using LOINC codes in three large institutions. ( 0,63762617220219 )
Int J Med Inform - Critical areas of national electronic health record programs-is our focus correct? ( 0,63557827584333 )
J Am Med Inform Assoc - Mapping local laboratory interface terms to LOINC at a German university hospital using RELMA V.5: a semi-automated approach. ( 0,635440980023334 )
BMC Med Inform Decis Mak - Healthcare provider attitudes towards the problem list in an electronic health record: a mixed-methods qualitative study. ( 0,632941392941088 )
AMIA Annu Symp Proc - Impacts of EHR Certification and Meaningful Use Implementation on an Integrated Delivery Network. ( 0,632714164034656 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,630141470713978 )
Healthc (Amst) - Do family physicians electronic health records support meaningful use? ( 0,629603876681516 )
AMIA Annu Symp Proc - A Template for Authoring and Adapting Genomic Medicine Content in the eMERGE Infobutton Project. ( 0,628220909300639 )
AMIA Annu Symp Proc - Evaluating congruence between laboratory LOINC value sets for quality measures, public health reporting, and mapping common tests. ( 0,626616666233065 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,625345741307371 )
J Am Med Inform Assoc - Use of the International Classification of Diseases, 9th revision, coding in identifying chronic hepatitis B virus infection in health system data: implications for national surveillance. ( 0,622727188748681 )
Methods Inf Med - Electronic health records. A systematic review on quality requirements. ( 0,620811208672203 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,620040292631042 )
Int J Health Geogr - Use of community-level data in the National Children's Study to establish the representativeness of segment selection in the Queens Vanguard Site. ( 0,618499624433796 )
J Am Med Inform Assoc - Completeness, accuracy, and computability of National Quality Forum-specified eMeasures. ( 0,617935224714629 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,615923271277706 )
J Med Syst - Usability evaluation of paper-based Hajji Health Record format. ( 0,615883251766591 )
J Am Med Inform Assoc - Implementation and management of a biomedical observation dictionary in a large healthcare information system. ( 0,612672310066743 )
AMIA Annu Symp Proc - Measuring the Information Gain of Diagnosis vs. Diagnosis Category Coding. ( 0,603755258180542 )
Healthc (Amst) - Meaningful use: Floor or ceiling? ( 0,601437517599605 )
BMC Med Inform Decis Mak - Automated identification of pneumonia in chest radiograph reports in critically ill patients. ( 0,601153550803927 )
AMIA Annu Symp Proc - An interface terminology for medical imaging ordering purposes. ( 0,596380366425808 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,593762791361471 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,592322962185354 )
BMC Med Inform Decis Mak - Measuring diversity in medical reports based on categorized attributes and international classification systems. ( 0,587696556164463 )
J Am Med Inform Assoc - Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative. ( 0,586455574747938 )
Methods Inf Med - LOINC in prehospital emergency medicine in Germany - experience of the `DIRK?-project. ( 0,585628522034715 )
AMIA Annu Symp Proc - Reducing missed laboratory results: defining temporal responsibility, generating user interfaces for test process tracking, and retrospective analyses to identify problems. ( 0,585258121828215 )
J Biomed Inform - Overcoming an obstacle in expanding a UMLS semantic type extent. ( 0,58422304868212 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,58408020977178 )
Perspect Health Inf Manag - Evaluation of inpatient clinical documentation readiness for ICD-10-CM. ( 0,5836877565215 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,583066676706503 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,581408887146458 )
J Am Med Inform Assoc - Validity of electronic health record-derived quality measurement for performance monitoring. ( 0,581220120581425 )
Artif Intell Med - Creating personalised clinical pathways by semantic interoperability with electronic health records. ( 0,58102848045856 )
Methods Inf Med - Development of ICF code selection tools for mental health care. ( 0,580771850511764 )
Methods Inf Med - Why the hell do we need electronic health records?. EHR acceptance among physicians in private practice in Austria: a qualitative study. ( 0,577891638642318 )
Methods Inf Med - Automated classification of free-text pathology reports for registration of incident cases of cancer. ( 0,573842961491018 )
Artif Intell Med - The readiness of SNOMED problem list concepts for meaningful use of electronic health records. ( 0,573584260015029 )
J Am Med Inform Assoc - Comparative analysis of pharmacovigilance methods in the detection of adverse drug reactions using electronic medical records. ( 0,573356018647094 )
J Biomed Inform - Auditing complex concepts of SNOMED using a refined hierarchical abstraction network. ( 0,572273487949759 )
J Med Syst - Creating content modules for Chinese EHR documents and their trial implementation in Wuwei City. ( 0,572137768925701 )
Healthc (Amst) - Experience-based design for integrating the patient care experience into healthcare improvement: Identifying a set of reliable emotion words. ( 0,571604588337734 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,571405523901775 )
J Am Med Inform Assoc - Same organization, same electronic health records (EHRs) system, different use: exploring the linkage between practice member communication patterns and EHR use patterns in an ambulatory care setting. ( 0,570662226859942 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,568238358470723 )
J Biomed Inform - Towards a framework for developing semantic relatedness reference standards. ( 0,56746139969051 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,567099834136984 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,56708116837006 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,567033660049388 )
AMIA Annu Symp Proc - An integrated billing application to streamline clinician workflow. ( 0,566894221738002 )
J Biomed Inform - Clustering-based methodology for analyzing near-miss reports and identifying risks in healthcare delivery. ( 0,565646469109248 )
J Med Syst - Development of fundamental infrastructure for nationwide EHR in Japan. ( 0,564691184674642 )
J Biomed Inform - An automated technique for identifying associations between medications, laboratory results and problems. ( 0,563792691993179 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,563705385637613 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,56278163521889 )
Comput Biol Chem - Circular code motifs in transfer RNAs. ( 0,562559725796752 )
J Biomed Inform - Auditing consistency and usefulness of LOINC use among three large institutions - using version spaces for grouping LOINC codes. ( 0,562471432658674 )
Methods Inf Med - Snomed CT implementation. Mapping guidelines facilitating reuse of data. ( 0,562343965846344 )
Int J Med Inform - Analysis and evaluation of the Electronic Health Record standard in China: a comparison with the American national standard ASTM E 1384. ( 0,561469388692119 )
J Med Syst - Usability evaluation of Laboratory and Radiology Information Systems integrated into a hospital information system. ( 0,561341527069448 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,561198162906327 )
AMIA Annu Symp Proc - Identifying inconsistencies in SNOMED CT problem lists using structural indicators. ( 0,560537827770362 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,560224069716811 )
AMIA Annu Symp Proc - Development of automated quality reporting: aligning local efforts with national standards. ( 0,559144953749411 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,559082905238381 )
Methods Inf Med - Testing conformance and interoperability of eHealth applications. ( 0,557190910285324 )
J Am Med Inform Assoc - Executing medical logic modules expressed in ArdenML using Drools. ( 0,557108453025824 )
J Med Syst - Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting. ( 0,55708901609644 )
J Am Med Inform Assoc - Temporal trends of hemoglobin A1c testing. ( 0,555794092154513 )
Int J Med Inform - Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. ( 0,5557278982297 )
Int J Med Inform - Learning from Taiwan patient-safety reporting system. ( 0,554854867812206 )