Proposal to Use CDA for Healthcare-Associated Infections (HAIs) Reporting to the Centers for Disease Control and Prevention (CDC) Daniel Pollock, CDC dpollock@cdc.gov.
Post on 11-Jan-2016
213 Views
Preview:
Transcript
Proposal to Use CDA for Healthcare-Associated
Infections (HAIs) Reporting to the Centers for Disease
Control and Prevention (CDC)
Daniel Pollock, CDC
dpollock@cdc.gov
July 6, 2006 HL7 SDTC Teleconference
Overview• Mounting public interest in surveillance and
prevention of healthcare associated infections (HAIs)
• Many hospitals use CDC’s National Healthcare Safety Network (NHSN) or a vendor IT solution to collect and analyze HAI event data
• CDC is working with IT vendors on a standards-based solution that will enable hospitals that use vendor systems to report HAI data to NHSN
• CDA specifications for HAI event data (numerators and denominators) is a logical solution, but more information is needed about feasibility, cost, timetable
HAI:A Major Clinical and
Public Health Problem• Defined as infections that patients acquire during
the course of receiving treatment for other conditions
• Account for an estimated 2 million infections, 90,000 deaths, and billions of dollars in excess health care costs annually
• After years of debate, mandatory public reporting of HAIs is becoming a reality in an increasing number of States
HAI Public Reporting Legislation
Enacted
2006 Activity No Data
www.apic.org 06.30.2006
Study Bills
WWW.APIC.ORG 06.30.2006
• Infection Control Professionals (ICPs) identify HAI cases (e.g., surgical site infections, bloodstream infections), collect case instance data and denominator data (e.g., surgical procedures, central-line days), and enter these data into the web-based NHSN application
• Healthcare facilities use data entered into NHSN for facility-level monitoring and quality improvement
• CDC uses NHSN data to analyze national-level trends and to provide comparative data for facilities to use in performance measurement
Vendors Working With CDCto Enable Use of CDA
for Reporting HAIs to NHSN
• Becton Dickinson
• Cereplex
• EpiQuest
• ICPA
• MedMined
• TheraDoc
• Vecna
Initial Feedback from HL7’sStructured Documents
Technical Committee (SDTC)• Several changes to CDA might be in order to
optimize its use for HAI event reporting:- Requirement for naming sending institution- Narrative block becomes optional for sections
that fully coded• Possibility of a CDA for Reporting specification
(CDA-R).• CDA specifications for HAI denominator data
may require more creativity as CDA currently defines a clinical document for a single patient.
Possible Roles forHL7’s SDTC
• Consider questions of what is in scope and out of scope for CDA.
• Provide guidance on HL7 Working Group activities that bear on HAI reporting project.
• Review draft specifications and provide feedback on format and appropriate use of the specification.
• Serve as a sponsor for HAI reporting implementation guides that would be considered for a U.S. realm ballot.
top related