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“In God we trust…… all others bring data….”. Foundations of CQI: Elements of Data Collection, Sharing, and Learning. The Challenge. Challenges. Money Time & personnel for data entry Software Hardware Data compatibility Within institutions Between institutions With neonatal / pediatric
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Foundations of CQI: Elements of Data Collection, Sharing, and Learning
Challenges • Money • Time & personnel for data entry • Software • Hardware • Data compatibility • Within institutions • Between institutions • With neonatal / pediatric • National initiatives
Challenges • Who owns the data • Data governance / management • Misuse / abuse of data • Marketing • Competition • Payer leverage • Formal data agreements
Other challenges • What do we collect • What do we measure • Structure • Process / system • Outcome • Standardization • Outcomes • Definitions
Current Options • Existing data groups • Commercial products • NPIC • AWHONN • Something new • Independent • Lobby national organizations
Limitations • Current – mostly administrative datasets • Financial / coding • Outcomes oriented • Limited insight into process and structure • Limited datasets • VON – VLBW infants; limited maternal data • Limited linkage between mother & infant • ‘Garbage in – garbage out’
Opportunities • Establish standardized dataset • Links with registries and other databases • Direct link with EMR’s • Birth certificate, other • Define our own measures • Leadership in national measures
Emerging Stories February 21, 2008, 1:13 am Google Health Begins Its Preseason at Cleveland Clinic
Other opportunities • Partnerships • Tech industry • SAS, Google, Microsoft, STI, Premier…… • ACOG, NQF, IHI, other • PQCNC • CMS, other payers • ‘VON-P’