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Factors Considered by HMA When We Develop an Integrated Health Evaluation Data Management System (IHDMS). David Chenoweth, Ph.D., FAWHP President, Chenoweth & Associates, Inc. 128 St. Andrew’s Circle New Bern, North Carolina 28562-2907 (252) 636-3241.
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David Chenoweth, Ph.D., FAWHP
President, Chenoweth & Associates, Inc.
128 St. Andrew’s Circle
New Bern, North Carolina 28562-2907
Copyright, Chenoweth & Associates, inc.
What is an IHDMS?
“Group of health-related databases linked by software that
can identify specific types of data from individual databases
to determine relationships between and among the data.”
Typical Databases Found in Business & Industry
Identify a list of people who can benefit from IHDMS, benefits manager, human resources, nurse, safety, rehab/case mgmt., health promotion, etc.
Visualize what an IHDMS can do for the organization; establish a simple definition of IHDMS that can be
conveyed to key decision-makers.
Determine what an IHDMS can do for the organization that isnt’ being done now. Review the corporate mission statement, short-term, and long-term business plan.
Identify strengths and how an IHDMS would enhance them; identify weaknesses and show how an IHDMS would minimize
or eliminate them.
Assess organization’s ability to develop an IHDMS:
• Identify existing in-house
databases and networks
• Identify databases maintained by outside firms
• Identify inhouse personnel
interested in an IHDMS
Assess the business environment and
geographic location(s) to determine
the feasibility and specificity of an IHDMS;
for example, shift to managed care, aging
workforce, benefits restructuring, etc.
Consider all in-house databases and
solicit input from all users; identify each user’s needs and formulate a list of common denominators.
Prioritize needs and subject
them to specific feasibility
criteria, i.e., cost, number of
Assess outside* database
functions, data value,
and vendor’s ability to
collaborate with organiz.
Prepare a preliminary proposal for a recommended IHDMS structure; submit to inhouse staff only for feedback. Check proposed structure against corporate mission statement, short-term, and long-term cost-management plans for next 3-5 years.
Based on preceding findings, revise initial proposal accordingly
and develop a structure that meets all designated criteria.
*Third party administrators, insurers, MCOs, etc.
How IHDMS will be used by current database users and potential users if new programs are planned or
downsizing leads to greater workloads.
Involve key personnel to decide :
• IHDMS Goal
• IHDMS Objectives & timeframe
• Specialists needed
E. Data Strategy
Consider the feasibility, practicality, and comparative cost of
developing an inhouse centralized IHDMS vs. small modifications
in the current arrangement.
Compare costs to expected benefits using:
* benefit- cost analysis
* Costs as % of client’s
Estimate implementation costs and
additional database maintenance costs.
• Hardware • Software • Consultants
• Staff time • Management Time
Determine evaluation protocols:
• What variables(outcomes) will be measured?
• What timeframe will be used?
• Who will perform evaluation?
• What measures will reflect progress?
• How will outcomes be quantified, i.e., time savings, earlier diagnostic findings, interdepartmental efficiencies. less dependence on outside vendors, etc.?
F. Outcome Planning
Do a Beta trial: subject a
common health problem to different hypotheses and
check for inter-database
• Report formats
• Specific report requests
• Personnel access
• Technology implications
Third Party Administrator
Electronic Data Interchange*
* Permits multiple functions between various databases to occur, i.e., what percentage of 30-35 year olds
have recently filed a workers’ compensation claim.
M.D./P.T., Chiropractor, etc.
Employees use health care services
from various providers
Third Party [claims]
• Major Diagnostic Categories