Unleashing allied health data The benefit of sharing between professions Nathan Billing
Jun 22, 2015
Unleashing allied health data
The benefit of sharing between professions
Nathan Billing
Overview:
Where does data reside in HospitalsCasemixWhat are DRG’s Interdisciplinary practiceData miningPotential analysis techniquesRound table
LimitationsGoing paperless
Data currently residing within your hospital.
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Understanding Casemix
“Casemix is not a health policy in its own right. It is a benchmark pricing system designed to ensure that the same price is paid for the same work by like hospitals - no matter where it is undertaken (within planning parameters). It emphasises technical (cost) efficiency”
Chris Brook
Products of hospital
Defining DRG’s
based on hospital abstracts a practical number of classes for the
purpose and context of classificationThere are similar patterns of
resource intensity use within each class. i.e the average pattern of resource use within each group can be predicted
there are similar types of patients in a given class from a clinical perspective.
(Fetter, et al., 1980)
Interdiciplinary practice
Masters thesis
What does the overlap show us
Data Mining
Bayesian analysis and machine learning
Moving from evidence based practice to practice based evidence
The results obtained by data mining, in particular from the subfield of machine learning, may not only be exploited to improve the quality of care by implementing particular changes to care policies but can also be used as a basis for the construction of computer-based decision support
The role of health outcomes in community and allied health service accountability
Does improving qulaity save money
Health round table data
Limitations of Roundtable data
Accuracy of information capturedBetween site variability is not (to my
knowledge) accounted for in activity data i.e.: Staffing level variation during data
capture time Geographical and demographic variation
s Funding issues and organizational
priorotiesExperience of allied health staffNumber of staff?? Number of refferals
http://care360blog.questdiagnostics.com/transitioning-to-ehr/infographic-ehr-vs-traditional-paper-records/
Going paperless
Intraoperability
http://wiki.hl7.org/index.php?title=Nutrition_Management
Structured electronic documentation model
Questions and Discussion