The methods used to establish healthcare IT standards can be divided into? Ad ho
ID: 430326 • Letter: T
Question
The methods used to establish healthcare IT standards can be divided into? Ad hoc, De facto, Government mandate, Consensus. Conduct an Internet search for information on the standards. Focus your investigation on these two questions:
Has the standard changed?
What are some of the issues surrounding this standard?
As you reflect on this information on your own research, compare and contrast the intent of "classification,", "functional," "content," "messaging," and "transaction" healthcare IT Standards.
Explanation / Answer
Answer: The various methods to establish healthcare IT standards can be summarized as below:
Ad hoc: The absence of formal adoption process
De facto: Service providers/vendors have a significant market share
Government mandate: Compliance to government regulation
Consensus: Entities voluntarily reaching a formal agreement
Healthcare IT standards have evolved significantly over the past few decades.Standards development organizations(SDOs) have emerged to addess the highly fragmented and diverse needs in the healthcare market. Bilateral and multi-lateral agreements have been established between the standard development organizations. In the current world the healthcare system accomodates different IT standards from multiple vendors for both inter and intra organizational domains. The current message format standards have high degree of intented interoperability and optionality.The optionality incorporate enables the vendors to accomodate workflow variability . IT standards are pivoted nowadays around supporting telemedicines, virtual cloud storage, electronic data exchange etc.Besides establishment of Health insurance exchange has been mandated by healthcare IT standards,BYOD and healthcare mobility policies have evolved to define privacy requirements through identification and access management tools.
Some of the issues surrounding the standards are:
-achieving interoperability by enforcing industrywide interoperability standards and measurements
-standard way of patient identification
- enforcing and implementing healthcare IT standards across mutiple entities, service providers
- data/information sharing impediment removal
-establishing healthcare data security and integrity
-establishing standards and certifications for electronic health data exchange
-under representation of healthcare consumers and their advocates in the committees for framing healthcare standards making the standards more biased towards policy makers and service providers
-ethical issues like patient data privacy
-Data storage strategy in the scenario of burgeoning data accumulation and storage
-non standard impementation of standards and vocubulary variability
-Barriers to SDO( Standards Development Organization) collaboration
The intents of various healthcare IT standards are as follows:
Classification: To provide international classification of diseases which acts as benchmarking classification for all countries. This is established by WHO( World health organization)
Functional:To provide the organised format, participants, required functions, features and operational capabilities . It includes domains like patient care management, healthcare surveillance etc.The various organizations involved in developmen of functional standards are ASTM( halthcare domain), HL7( public health and healthcare domains),ISO( healthcare domain),PHDSC(clinical-public helath information system domain)
Content:They geerally define the healthcare data content standards governing standards, quality and interoperability,They involve data standards and regulatory frameworks.
Messaging:The standards are generally meant for exchanging clinical and administrative data between various applications. eg. HL7 messaging standards
Transaction: To establish standards related to exhange of information between parties for financial and administrative activites related to healthcare. Includes claims information, remittance and payment advice, claims status,referrals, authorizations,premium payments etc.Eg. HIPAA, ACA
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