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Consolidating Information. Participants H. Burkom - Barbara Spratkes-Wilkins J. Coberly - Stella Tsai K. Cox Questions How do we address/resolve the use of multiple systems?
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Consolidating Information • Participants • H. Burkom - Barbara Spratkes-Wilkins • J. Coberly - Stella Tsai • K. Cox • Questions • How do we address/resolve the use of multiple systems? • How do we consolidate information, coordinate, and communicate across jurisdictions, systems & analytical results?
What is Consolidation? • Combining diverse sources • What sources? • Raw data • System results (information), ex. alerts • On same data • On differing data (same streams), e.g., diagnosis vs. CC vs. lab orders vs. drug prescriptions within a given system
When Do You Consolidate? • Is it really necessary? • Need to fuse all results or just representative samples? • At what level is fusion needed? • Within a system • Between systems looking at the same data with different underlying algorithms • Between systems looking at different parts of the data • Between systems looking at different regions
How Do You Consolidate? • Optimal – Do Not Consolidate • Consensus – Take time, not sure really want this • 2nd Best (Reality?) • In your head • Statistically • Fusing results from multiple data sources within a single system into a single alert • Some misgivings • Fusing results from multiple systems, meta-analysis-like • NOT recommended • Visually with a computer interface showing multiple sources/results simultaneously • Good but have to have drill down capability
Rules of Consolidation • Must lead to actionable information • Data from the same underlying population • Must understand the characteristics & limitations of data being joined • Data should be complementary • Carefully evaluate the utility of meta statistics • Must be able to drill down into data details in all data sets • All data sets must (?) offer similar level of granularity
What Is Needed? • Common definitions • Ex. Syndromes • Have the system in place before an event • Relationships • Protocols • Resources