Vision and Scope

 

Health IT Standards & Interoperability Collaborative

 

 

  1. Vision and Scope
    1. Health IT Standards & Interoperability Collaborative
    2. Definitions
    3. Health Information Technology Standards:
    4. Action Items

 

  1. All nurses will understand the importance of Health IT standards and interoperability on the delivery of safe, effective, efficient and patient centered care.
  2. All nurses will understand how to become engaged in Health IT standards adoption efforts to insure the nursing voice is represented and included.

 

Definitions

 

Health Information Technology Standards:

  • A standard specifies a well-defined approach that supports a business process and: (1) has been agreed upon by a group of experts; (2) has been publicly vetted; (3) provides rules, guidelines, or characteristics; (4) helps to ensure that materials, products, processes, and services are fit for their intended purpose; (5) is available in an accessible format; and (6) is subject to an ongoing review and revision process.

  • Standards mean the structure and content of health care data, information, or concepts that are usefully exchanged or provided between and among care providers and public health authorities, and the interchange methods used to facilitate these exchanges.

 

Dr. John Halamka, Chair of the Health Information Technology Standards Panel (HITSP), explained to the American Health Information Community that for HITSP work

 

Health IT Interoperability:

 

  • Interoperability means the ability of different information systems, software applications and networks to communicate and exchange information in an accurate, effective, useful, and consistent manner.

  • The current landscape of standards does not ensure interoperability due to many factors, such as conflicts and gaps. Further, for true interoperability to be realized, many standards need to be harmonized, including standards that do not traditionally fall into the commonly accepted health care standards arena (e.g., broader technology standards for data interchange).

  • Harmonization means the function of developing, reconciling, setting and maintaining standards required to achieve interoperability.

     

Department of Health and Human Services (HHS) Office of the National Coordinator for Health IT (ONC)

 

Scope

 

Scope includes relevant nursing and patient care related standards setting efforts

 

  • Categories of standards may include:

    • Terminology

    • Information Model

    • Information Interchange

  • Health IT Standards Domains may include:

    • Nursing

    • Clinical Specialties (Lab, Radiology, Medications)

    • Patient Information (Demographics, Allergies, Diagnosis)

  • Out of scope

    • Standards of Practice

    • Technology and Infrastructure
    • Security and Privacy

 

Action Items

 

  1. Identify the most relevant Health IT standard setting efforts that are important to the TIGER mission.

  2. Assess whether there is adequate representation/input of the TIGER mission/perspective on said efforts.

  3. Take action to close gaps that exist.

  4. Communicate the existence and importance of Health IT standards and initiatives to the broad nursing community.

  5. Create tutorials on standardizing data elements, implementing electronic health records, using nursing terminology, and using evidence-based practice tools.

 


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