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AHRQ’s US Health Information Knowledgebase

AHRQ’s US Health Information Knowledgebase. Health Information Technology Standards Panel J. Michael Fitzmaurice, Ph.D. Agency for Healthcare Research and Quality June 11, 2008. What is AHRQ-USHIK?. A metadata registry that follows the ISO/IEC 11179 standard

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AHRQ’s US Health Information Knowledgebase

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  1. AHRQ’s US Health Information Knowledgebase Health Information Technology Standards Panel J. Michael Fitzmaurice, Ph.D. Agency for Healthcare Research and Quality June 11, 2008

  2. What is AHRQ-USHIK? • A metadata registry that follows the ISO/IEC 11179 standard • A source for data elements from health data standards endorsed, adopted, recognized by the HHS Secretary for federal use • A public domain web site managed by AHRQ

  3. What does AHRQ-USHIK Contain? • Health care data elements from • HIPAA administration simplification transactions standards • Consolidated Health Informatics-Domains • President’s Interoperability Standards • Biosurveillance Use Case • Quality Use Case • Selected data elements for comparison and program purposes

  4. What is AHRQ- USHIK currently doing? • Supporting HITSP’s Committees • Supporting AHRQ’s Patient Safety Working Group

  5. What is AHRQ- USHIK currently doing? • Supporting HITSP • Population Perspective TC (Floyd Eisenberg, Peter Elkins, Steve Steindel) • Biosurveillance Use Case • Quality Use Case • Others • Care Delivery and Health Records Domain TC (Keith Boone) • HITSP Foundation Committee (Steve Wagner, Bob Dolin) • Foundation Harmonization Subcommittee (Bob Dolin) • Foundation Interoperability Exchange Sub. (Greg Suppola) • Other Perspective, Domain, and ad hoc committees

  6. What is AHRQ- USHIK currently doing? • How? By • Working with other TC’s to determine the data elements contained within their Interoperability Specification's standards choices • C32 document based on HL7’s CCA CCD • Will move to C48, C28, and C37 • Attending specific TC meetings and providing support on data element questions • Providing an orderly display of HITSP-recommended data elements for publication and use

  7. What is AHRQ- USHIK currently doing? • Supporting AHRQ’s Patient Safety Working Group (AHRQ, FDA, CDC, HIS, VA, DoD, HRSA, NIH, ONC) • Common formats project (AHRQ, FDA, CDC, IHS, VA, DoD) for PSO’s to report patient safety events • Pilot Testing at DoD, VA, IHS facilities • Modifying common formats and, hence, USHIK data element contents as a results of the tests (May, July 2008) • Patient Safety Event data elements publication • July-August 2008 for release for public comment (with NQF) • NQF will compile and synthesize public comments

  8. What is already being done to USHIK? • Make USHIK web site compatible with requirements of: • AHRQ • HHS • Section 508 compliance • Load the Patient Safety PSE data elements and link to USHIK’s information model display • Load C32 spreadsheet data elements into USHIK • Establish authority for these elements • ONC • SDO’s • Work with the SDO’s to update their data elements for the HIPAA and CHI domains (basis for HITSP comparisons)

  9. Where is Value? • Publishing in one place the data elements from the standards processes ONC has developed • Being a source for what is required by the President’s and HHS Secretary’s Interoperability Standards—Federal Agencies, Federal Contracts • Supporting private sector efforts to match their products’ data elements with those of Federal Interoperability Standards

  10. Biosurveillance Technical Committee • The USHIK team developed a table that consolidates each of the data elements referenced in the Biosurveillance Interoperability Specification • Representatives from the USHIK team attended the Committee’s weekly teleconference and regular face to face meetings to provide ad hoc data element identification support. • Scenario: An implementer wants to view a list of all the data elements identified for the Biosurveillance Interoperability Specification

  11. Foundations Committee • Representatives from the USHIK team attend the Committee’s weekly teleconferences for both Harmonization and Medication Terminology harmonization. • USHIK published each of the harmonized value sets developed by the Foundations Committee. • Scenario: A committee member wants to review all of the harmonized value sets to date

  12. Care Delivery and Health Records Domain Committee • Representatives from the USHIK team attend the Committee’s weekly teleconferences as well as regular face to face meetings to provide ad hoc data element identification support. • The USHIK team is playing an integral role in the Committee’s effort to harmonize value sets across all of the HITSP Technical Committees • Scenario: The committee would like to review a demographic data element chosen for Biosurveillance to determine if the value is suitable and should be used for a current use case

  13. AHRQ’s US Health Information Knowledgebase Health Information Technology Standards Panel J. Michael Fitzmaurice, Ph.D. Agency for Healthcare Research and Quality June 11, 2008

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