HIM410 Week 1 Case Study Standardized Vocabulary Case, writing homework help

Standardized Vocabulary Case

Study Clinical information systems including the electronic health record are sometimes characterized by describing their inputs and outputs. To ensure interoperability the use of a controlled vocabulary is necessary so that the data entered into the electronic medical record can be transmitted between health information systems. Read the case study in Chapter 2 on pages 35-36 of your Health Informatics: A Systems Perspective text and address the following::

• Identify the problem that needs to be addressed

• Recommend a solution to the problem. Why do you feel your proposed solution is correct?

• Identify and describe the national or international standards would you use as part of your solution

• Explain the importance of interoperability to Carol’s perspective

• Must be one to two double-spaced pages in length, excluding title and reference pages, and formatted according to APA style as outlined in the Ashford Writing Center.

• Must include a title page with the following:

  • Title of paper

  • Student’s name

  • Course name and number

  • Instructor’s name

  • Date submitted

• Utilize a minimum of two scholarly sources, excluding the textbook.

• Must begin with an introductory paragraph and end with a conclusion

  HERE IS THE CASE STUDY BELOW

  CHAPTER 2 PAGES 35 AND 36
   

  A Problem of Display Codes

  Timothy B. Patrick

  During the course of EMR implementation project at a large medical center, the issue of how best to design display screens for the system arises. The particular concern is what standard codes should be used for the information on the user screens. The following e-mail is a request for a consultation from an IT staff involved in the EMR project to a member of the health informatics group:

  Carol,

  I need your help with something, and it’s a pretty big something. I wonder if you or anyone on your staff would be interested in taking this on as a project?

  I’m working on the new EMR project. One of the things we’re stuck on right now is standard displays of information in the EMR. Because the record is integrated (which is the good news and the bad news), most of the tables and code sets are shared among multiple disciplines. We need to define what we will use for our displays. For example, the code set we’re working on right now is Units of Measure. Now, you wouldn’t think it would be too hard to decide what the display for something like “milligrams” would be. Except the choices are MG, Mg, mg, etc……. And that’s one of the easy ones.

  According to the medical center’s standard abbreviations, all of the above are perfectly acceptable. The problem is, to build the EMR, we have to decide on just one. So far, since we began implementing the EMR, we’ve included a mishmash of displays, depending on what department we were working with. Lo and behold, now we’re in a real pickle, and our database is a mess. In the truly integrated EMR, there can only by one abbreviation displayed for milligrams.

  Again, this is just one example out of literally hundreds (if not thousands) of pieces of information we need to standardize.

  Do you have some time to help us figure out what standards are out there? We’d like to standardize on something that is nationally, if not internationally, accepted. It needs to include content for standards, definitions, and especially abbreviations for pharmacy, medicine, nursing, and purchasing units. We’d like to have some standards to present to the EMR Steering Committee and the Medical Records Committee for consideration.

  Do you have any suggestions? I’d be happy to meet with you and discuss further if you’d like. Thanks.

  Michael

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