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Healthcare IT Interoperability







Top trends include Health IT Interoperability


Like nearly everything else today, your medical records — from hospital stays and doctor visits to prescriptions and lab results are being converting to electronic records and stored in Electronic Health Record systems (EHRs) which let healthcare providers have access to your records in order to provide better care. But what happens when the coding system used by one hosptial for a Heart Attack at hospital A is called a myocardial infarction, while at hospital B it is called a Cardiac Arrest? It sounds trivial right? However, the computers do not know they are the same thing. So now take this issue and multiply it by a million different medical terms and you have a real problem!

This is an issue that J P Systems' has been tackling for over a decade. “When two providers can’t exchange information effectively it could cause patient safety issues” says Jackie Mulrooney, the long-time president (and founder) of J P Systems, a healthcare Information Technology firm. “The interoperability of systems is a problem not just nationally, but worldwide.” Since 1998, when her husband Galen joined her firm, the company has focused on electronic patient records, health care standards and data architecture for Healthcare IT.

In September 2015, J P Systems was awarded a five year US Department of Veterans Affairs contract with a $100 million ceiling, to support terminology standardization efforts. It’s the largest contract to date which the Mulrooney’s business has received. “It is for Healthcare IT data standards, which is our company’s niche. That’s the biggest problem in health care today. The incompatibilities exist on a very low level of the information. Over the last 35 years, medical concepts have been assigned different codes in different systems. These codes exist in the data files and their meanings do not. That is why electronic data exchange is so very difficult. There are other issues with EHRs, too. “If organizations have different missions, they’ll collect and store slightly different types of data at different levels of specificity” she said. “A cancer center will collect and store different details about a patient than a General Practitioner at a local clinic. The goal is to get them to map to one international standard so that patient data can be exchanged in an accurate way. You can’t make good clinical decisions without accurate, up-to-date, and complete information.” The path has been steadily upward for Mulrooney, who attended Colgate because it was a small university that offered both a computer science major and a women’s varsity tennis team. She was one of the few women then studying computer science at Colgate. Mulrooney ended up with a Pre-med, Computer Science and Chemistry triple major, which built the foundation for what she does today in the Healthcare IT world.


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We are #HealthcareIT interoperability architects for large enterprises, UML data modelers, use case developers, business logic analysts and #HL7 messaging standards developers.