DataFlow among Health Care Systems
DataFlow among Health Care Systems
Followingthe case study on Family Clinic, the major types of externalorganizations with which the clinic can share its data are:
Communicationbetween health facilities enables sharing of information thatprovides an insight into how a patient is to be handled, which drugsto avoid and recommendations for advanced treatment.
Themajor information that Family Clinic may share with another hospitalincludes:
The patient’s lab test results: If a patient is transferred or referred from Family Clinic to another hospital, Family Clinic will send information regarding the patients’ test results so as to provide an empirical basis for the other hospital to attend to the patient. This also helps in avoiding duplication of procedures that had been already carried out. If a patient is transferred to Family Clinic from another hospital, then the other hospital shares this information with Family Clinic.
The patient’s history: If a patient is transferred from Family Clinic to another hospital, Family Clinic will share the patient’s history including previous visits and diagnosis on the various visits. The patient’s family history is also provided to the other hospital. This helps provide a background of the patient to the other hospital.
Research findings: Family Clinic may conduct research on a particular health issue and share this information with another hospital to help them handle the situation or invoke their input into the research.
The patient’s previous and or current prescriptions: Family Clinic will share past and present prescriptions of for the patient with the other hospital to help them avoid prescribing drugs that do not work or negatively affect the patient. They will inform the other hospital which drugs to avoid since they may react negatively with the ones the patient is taking.
The Patients Bio Data: Family Clinic has bio data of all patients that have visited them current and discharged. In case they refer a patient to another hospital, they will share this bio data with the other hospital. This comes in handy especially in an emergency situation such that the other hospital does not have to collect this data from the patient -they can attend to the patient straight way.
2.Government Institutions – Ministry of Health.
Everyhealth facility has an obligation to provide reports to thegovernment so as to assist in planning and combating healthcalamities. Progress reports on immunization and such like publichealth initiatives have to be continuously shared with thegovernment.
Themajor information that the clinic shares with the governmentincludes:
The area they have covered during a government-initiated process: When the government comes up with campaigns through the health centers, Family Clinic will report what geographical areas they covered during the exercise.
The total number of people immunized: Immunization campaigns target specific numbers. Family Clinic has to provide information to the government about the total number of people they have immunized for a particular disease or during a particular campaign.
Resources used in a government campaign: When Family Clinic executes campaigns and initiatives by the government using their resources, they have to share a breakdown of the resources utilized so as to be reimbursed by the government.
Periodic reports on disease occurrences: Every hospital codes and records all disease cases. Family Clinic will share with the government reports on all disease cases they handle in a certain period, mainly on a monthly basis. This information is key in formulating health policies and budgeting.
Regulations and standards: This information originates from the government. The government will inform Family Clinic of the standards to maintain and regulations guiding their operations, with which they have to comply.
Thedata interchange standard that can be used for both organizations isdirect data interchange standard. This is because the standard can beused by the two organizations to send private information betweenthemselves. The above information can be sent electronically throughthe internet in a secured manner using encrypted files. This form oftransfer is mainly used when the people communicating or transferringthe messages know and trusts one another. Trust exists between FamilyClinic and the government as well as between Family Clinic the otherhospital. That is why they can refer or transfer patients betweenthem. The encryption key must be sent separately from the file toensure that the wrong individual does not receive the information.
Thisform of data exchange is cheap and easy to use thus the organizationdoes not incur a lot of costs and at the same time enables datasecurity and integrity since only the intended individuals receivethe messages. It can be compared to the use of sending encryptedemails from the sender to receiver.
HealthInsurancePortability and Accountability Act(HIPAA), Privacy Rule(2000)
Thislaw protects the privacy of health information. The standard complieswith this law since the data is encrypted ensuring only authorizedpersons access it.
ClinicalLaboratory Improvement Amendments (CLIA) (1988)
Thislaw provides for the protection of laboratory test results. Labresults should only be shared with authorized persons such as thosetreating the patient. This standard complies with this regulation byensuring lab test information is only communicated to the intendedpractitioner.
Patient’sright to autonomy: A patient has the right to make decisions in themanagement of their health information. With this standard, dataintegrity is ensured. Patient’s private information is thereforesafeguarded only authorized personnel access the information.Patients’ information is not shared to unauthorized third partieswithout their consent.
OccupationalOutlook Handbook, 2010-11 Edition. Medical Records and Health Information Technicians
Sato,I., Kawasaki, Y., Ide, K., Sakakibara, I., Konomura, K., Yamada, H.,& Tanaka, Y. (2016). Clinical Data Interchange StandardsConsortium Standardization of Biobank Data: A Feasibility Study.Biopreservation and biobanking, 14(1), 45-50.