Data from patient health records
While the reading focuses on data from patient health records being abstracted or moving electronically into secondary data source systems, more and more we are having to consider data from secondary data sources being used to add to the primary health record. Examples:
A patient brings in their personal health record that contains health information from 2 other primary care providers at local clinics. They want this information added to their health record at your hospital.
Inbound HIE data from an earlier encounter from an unrelated provider is electronically received for a patient’s health records
Inbound data from the patient portal is received many times a day as patients update their demographic or insurance information on the patient portal
Data is received from smart devices such as ambulatory heart monitors or insulin monitors and is downloaded into patient records
It would be inefficient for all of this inpatient data to be manually checked for validity. Please describe in 2-3 paragraphs (400-500 words) how a healthcare organization could assure that this incoming data is valid and accurate.
Sample Answer
Ensuring Validity and Accuracy of Secondary Data in Healthcare Records
As you rightly point out, the reliance on secondary data sources for enriching patient health records (PHRs) is growing rapidly. While manual verification of all incoming data is impractical, healthcare organizations can leverage various strategies to ensure its validity and accuracy:
1. Standardize Data Formats and Content:
- Implement interoperability standards: Adherence to HL7 FHIR, LOINC, SNOMED CT, and other standards ensures consistent data formats and terminology across different systems, facilitating seamless integration and reducing errors.
- Define data quality criteria: Establish clear guidelines for acceptable data formats, values, and completeness for each data type received.