Identify Interoperability Requirements in Healthcare
For each of the scenarios in the assignment document you will:
- Show the parties involved in information exchange in your scenario. Remember that parties are not people but applications
- Show the scope: Intra-hospital, inter-hospital, regional
- Clearly describe at least 3 goals for building interoperability among the parties in the scenario, e.g. avoid duplicated data entry
- Define the information exchange “trigger event”, that is, the point(s) at which information is going to be exchanged, e.g. after the doctor issues a lab order
- Show the contents of each information exchange, e.g. patient demographic data, lab order, lab result data, etc.
- Systems do not share platform or database engines. The only available connection between systems is a reliable communication line in case of remote communication and a local IP network otherwise
- There are no funding, timing, or tooling restrictions. And systems are always in functioning mode (no down time).
Scenario 1: Get-well Hospital (GH) has implemented a new laboratory information system (LIS) named GH_LIS. Hospital management has asked that all patient demographic and encounter information be transmitted automatically to the LIS. Order status from the LIS has to be transmitted to the hospital billing system (GH_ADMIN) for further processing.
Scenario 2: George Pediatric, age 12, goes to MyClinic for a well-child visit. The nurse reviews his immunization history in the EHR system and notes that he is due for a Tdap vaccine. In addition, George’s mother reports that they will be travelling to a country with a risk of yellow fever. After consulting with the travel specialist, the nurse administers a dose of Tdap and a dose of yellow fever vaccine. The nurse determines that George is Native American. The nurse records the child is eligible for vaccine funded by the Vaccines for Children (VFC) due to his being Native American. The Tdap vaccine is eligible for VFC funded vaccine, while the yellow fever vaccine is not. The nurse captures this in the EHR. The EHR sends the updated immunization history, including the eligibility status to the IIS. The IIS accepts the updated immunization history, tracking eligibility for each immunization
Scenario 3: Community Healthcare Center (CHC) wants to send directly from incoming ambulances the Clinical evaluation, blood gas and EKG results and interpretation for their patients (loaded into their new Mobile Emergency Management Software – MEMAS), to the CHC-EHR repository accessed from their 1 associated hospital and 4 satellite clinics.
For Further Discussion:
- What will happen to these scenarios if more applications are added later? How to design and implement a scalable, interoperable healthcare system?