For the Vermont Oxford Network (VON), a worldwide registry for NICUs , we are standardizing their patient records databases which collect information on very low birth weight infants, all patients cared for in a NICU, follow-up for extremely low birth weight infants, and infants cared for in resource-limited settings all around the world. This detailed clinical data is now entered manually based on an annually defined questionnaire. The goal of our project is to enable automated and internationally standardized data collection so the data can be ingested faster. Once standardized, we will be able to design a FHIR™ app which will be able to partially automate the workflow by ingesting data directly from various vendor EHR systems such as Cerner and Epic. Our data standardization and terminology standardization efforts provide the neonatal community of practice the ability to achieve data-driven quality improvement.
This project provided guidance to VA project teams on data standards including the successful launch of the Federal Health Terminology Model initiative with active participation from a dozen federal agencies. We defined standard terminologies for Nursing Flowsheets and a pressure ulcer risk assessment which establishes standardized codes to enable interoperability among healthcare systems including CDS alerts.
For over 12 years at the ONC, we led the modeling efforts of the Federal Health Information Model for (FHIM). This federal healthcare it project developed a comprehensive information model with 39 healthcare domains. The model can be seen on our website FHIMS.org. The model also binds standard reference terminologies for accuracy.
This project provided expertise to the Business Architecture Services Program in information modeling for VHA domains and strategic initiatives and developed current and future-state VHA information models of iEHR (integrated Electronic Health Record) clinical and administrative capabilities.
Here we performed business and clinical process and data modeling for the iEHR for the VA Business Architecture office and the Veteran's Health Administration Enterprise Systems Management (ESM).
For VHA Office of Informatics and Analytics (OIA), VHIE Program, we worked to verify data received from VA partners during testing based on the data specifications for eHealth Exchange specifications (including HITSP C32, C62, and Consolidated CDA). We reported issues found in defect tracking system and communicated results back to VA partners. VHIE improves the security and quality of private health information transmission thereby improving patient safety and clinical decision making by providers.
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