1 / 20

Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona

Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona. Advancing e-Birth Records: Minnesota’s Experience. Kari Guida, MPH, MHI Senior Health Informatician Minnesota Department of Health. Acknowledgements.

bona
Download Presentation

Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Extending Our Reach Through PartnershipsJune 2-6, 2013 Phoenix, Arizona

  2. Advancing e-Birth Records: Minnesota’s Experience Kari Guida, MPH, MHI Senior Health Informatician Minnesota Department of Health

  3. Acknowledgements • Unity Hospital: Cheri Clough, Marcia Hauck, Stacy Hanson, Lori Wightman, Maggie Borer • CDC/NCHS: Michelle Williamson, Delton Atkinson • MN.IT: Otto Hiller, Naz Hamdan, Brenda Gabriel, Kathy Grantham • MDH: Steven Elkins, Martin LaVenture, Behnoush (Sidney) Salehi, Sally Almond, Cindy Coleman, Cheri Denardo, Jennifer Fritz, Priya Rajamani, Heidi Granlund

  4. Topics • Study Overview: Background, Approach & Methods • Preliminary Findings & Observations • Discussion • Next Steps

  5. Study Overview • Evaluate the readiness for secure electronic exchange of birth records information from hospitals’ EHR to the Minnesota Department of Health (MDH) • Integrating the Healthcare Enterprise (IHE) Birth and Fetal Death Reporting (BFDR) Profile • Health Level 7 (HL7) standard message and document specifications • Make recommendations MDH, hospitals, NCHS and partners regarding standards-based exchange of birth record information. • September 2012 – December 2013

  6. Study Background • The Minnesota Registration & Certification System (MR&C), a web-based system for vital records and certificate issuance was implemented in 2011. • Gaps and needs identified: • Quality of the data and workflow efficiencies • Interoperability between the state and hospitals’ EHRs during the abstraction and exchange. • Most (96%) of Minnesota hospitals have an EHR.

  7. Minnesota Department of Health, Office of Health Information Technology, AHA Annual Survey (2012) Response Rate: 92% (136 of 148)

  8. e-Birth Records Approach: Partnerships • Established a Collaborative Team • Office of Vital Records, Office of Health Information Technology, MN.IT at MDH and CDC/NCHS • project manager, business/program experts, information technology experts, health informaticians and project sponsors • Fostered Stakeholder Engagement • Partner Hospital • Advisory Group (MN e-Vital Records) • Community of Interest • Ongoing outreach to MDH, EHR/HIT vendors, and others

  9. Minnesota’s Birth Record Information Flow

  10. Preliminary Results 2013 IHE Connectathon • Developing the MN Birth Record Information flow engaged partners and created understanding of significance of the birth records data. • The proof of concept achieved mapping of 31 percent of medical data elements from the IHE BFDR Profile to the EHR. • Stakeholders are excited for standards-based exchange.

  11. Unity Hospital’s Current Birth Record Process

  12. Preliminary Results • Analysis of the partner hospital’s birth records process identified multiple challenges including: • duplicate data entry • medical information captured in text fields, discrete fields and scanned documents • time and effort to obtain birth data from multiple electronic and paper sources • lack of integration of prenatal care data into the EHR • Integration of prenatal care data into the EHR is influenced by: • relationship between prenatal care provider and hospital • hospital policy and workflow

  13. Discussion • Address variations of all data sources for birth information is critical. • Implementation of the IHE BFDR Profile depends on availability of data, quality of data, and birth records process workflow. • The IHE BFDR Profile can increase workflow efficiency and improve data quality, but review by hospital staff is necessary.

  14. Discussion • Achieving complete mapping of the IHE BFDR Profile data elements to the EHR is essential. • States and hospitals need technical assistance and resources for workflow, policy, information technology, organizational/leadership, data quality and informatics. • Collaboration between federal and state government, hospitals and EHR/HIT vendors is key to achieving standards-based exchange of birth records.

  15. Study Next Steps • Reconcile variation between data sources. • Assess MDH’s & Unity Hospital’s readiness for HL7 standards. • Develop a model of future standards-based exchange of birth records for both MDH and hospital. • Make recommendations to MDH, hospitals, NCHS and partners for standards-based exchange of birth record information  

  16. Important Steps to Advance e-Birth Records Nationwide • Create a “Roadmap for Implementation” for states and hospitals. • Develop toolkits, tips and templates to address training, organizational and technical issues. • Grow the understanding of need and opportunity for standards-based exchange for birth records.

  17. Important Steps to Advance e-Birth Records Nationwide • Support pilot projects of standards-based exchange between states and hospitals, using IHE BFDR Profile and HL7. • Advance and support national and state e-vital records workgroups and/or advisory groups. • Engage additional EHR and HIT vendors. • Support vital records inclusion into Meaningful Use Stages 3 and beyond.

  18. Contact Information Kari Guida, MPH, MHI Senior Health Informatician Minnesota Department of Health Kari.guida@state.mn.us 651.201.4136 www.health.state.mn.us/e-health/index.html

More Related