The COVID-19 data issues 12 health system IT execs want addressed first

Vice President and CIO of Deborah Heart and Lung Center (Browns Mills, N.J.): The big concern is ensuring that we properly define a favorable both for reporting, and for client security factors. Photo a patient who may have been previously tested and shown up with an unfavorable COVID result but is displaying symptoms, is subsequently evaluated, and reveals up as favorable.

Roger Neal. Vice President and COO of DRH Health (Duncan, Okla.): To me, in an ideal world it would have gone like this:.

CIO of Summit Healthcare (Show Low, Ariz.): Due to the rapid development of COVID-19, the requireds for information reporting were developed and in many cases left to analysis of each facility without a true requirement to permit for normalization. Information reporting requirements came from multiple agencies and each firm appeared to have different requirements.

Health systems throughout the U.S. have needed to establish advanced COVID-19 data reporting dashboards and systems to track the spread within their organizations as well as their neighborhood.

In current weeks, medical facility data has actually been scrutinized more deeply as HHS changed reporting procedures and the federal government further tied reporting to resource allocation. Many states have actually reported difficulties in gathering COVID-19 data from regional hospitals and laboratories as hospitals focus primarily on dealing with COVID-19 patients. As an outcome, numerous health systems plan to boost financial investment in information gathering and reporting in the future.

Here, 12 CIOs and IT leaders respond to the question: What is the most significant concern with COVID-19 information that you think should be attended to?

Weve also had other situations where patients have actually had tests both internally here at our hospital and from an external laboratory, and the results conflict. Having to fix up the COVID status of clients with multiple stays here at our center, where one stay associated to a negative outcome and another stay associated to a positive outcome likewise was something we had to work through.

CIO of Bozeman (Mont.) Health: We know there are a number of issues; nevertheless, I think that the issue to be dealt with first is to consolidate the reporting to the most crucial data points that will drive the distribution of critical supplies and staff. There lacks transparency in how the information offered is assessed and what is really being performed as a result.

Laura Dyrda and Jackie Drees –
Friday, July 31st, 2020

Greg Bryant. Director of IT at Baylor Scott & & White Texas Spine and Joint Hospital (Tyler): Due to the nature of the pandemic and how the reaction was specific to every state health officials, we had a decentralized reporting structure. I believe having a joined reporting structure to much better see trends and be able to designate resources accordingly.

Jason Fischer. CIO, Information Systems of PIH Health (Whittier, Calif.): Data aggregation can produce difficulties when the guidelines for reporting are not clear and data received does not associate properly across the base. What has actually been problematic, especially in the early days of COVID-19, were the day-to-day modifications and absence of clear assistance associated to the reporting of information that was requested.

Information trends seemed to suggest that possibly early information wasnt adjusted for increased screening volumes. Delays in reporting resulted in unreliable daily totals that skewed information offered to the general public. The biggest issue with COVID-19 data that I feel need to be addressed initially is to agree on a data meaning to guarantee everyone is reporting apples-to-apples while ensuring duplicative data is not reported from several companies.

1) The federal government works with states to determine what data requires to be collected.

2) The federal government deals with information and states agents from several small and large health facilities to specify each data point being gathered.

3) One database is created where health centers report to daily. This information is available to the federal and state governments at all levels.

Comparable to above, the timing of the favorable is likewise important. We may have record of the client having checked favorable previously, throughout or after their hospitalization. We need to only count the patients who were hospitalized while they were favorable, but this is likewise difficult. Predictive designs were all over the location. It felt like we needed to look around for one that seemed to match our actual experiences, and numerous were not even close to being precise.

Bob Foster. Senior Vice President and CIO/HIPAA security officer at South Georgia Medical Center (Valdosta, Ga.): I believe the most significant issue is an absence of clearness, standardization, and meaning in the data being asked for and gathered. This causes discrepancies in the data gathered leading to distrust in the individuals and entities consuming the information and finger-pointing by the different firms and entities reporting the data. We need to think like data researchers and be clear in our ask, our meaning of data elements and the data we are requesting. There requires to be a single standard that firms are sticking to. Variation provides itself to suspect and chance to reject the information.

Cara Babachicos. Senior Vice President and CIO of South Shore Health System (Boston): Its harder to retrospectively identify a COVID positive client than it may seem. Many clients are evaluated in other places (experienced nursing facilities, mobile site, medical care doctors workplaces, and so on) prior to admission. If the client comes as a verified favorable, we would prefer not to run a test on them, especially when test sets and reverse on test results were postponed.

Ash Goel, MD. CMIO of Bronson (Kalamazoo, Mich.): Changing specified information points and streamlining the process with open access to geographic and local information will be extremely valuable.

However, we still require to confirm and document that they are positive although we do not have immediate record of the favorable result. There are several techniques to this and most likely each medical facility is handling it a little differently. In Massachusetts we are likewise now needed to test on all patients prior to admission and, due to evaluating turn-around times, it could sometimes take days to get the test results back (unless your in-house laboratory has unlimited capability), so you need to presume positive till client is validated.

It has been a really discouraging experience provided attempting to strategy, execute, and care for clients and being informed to report this here, that there; we desire this however dont give us that, and so on. We had a lot of other concerns going on caring for the actual people and not simply inputting data.

There is likewise the misconception of averages. Some COVID patients remained in the hospital/ICU 45 days or more, however that was not the standard. Using average length of stay was thrown off by these outliers and became a problematic statistic as a result.

Jordan Tannenbaum. Vice President, CIO and CMIO of Saint Peters Healthcare System (New Brunswick, N.J.): Two places to start:.

Counting PPE is hard. Scarcity causes sourcing that is atypical. Usage is difficult to track and the standards continued to evolve, so utilization in March did not match usage in April, even if the exact same variety of staff and clients were in play.

Attempting to map deliverables to federal and state requirements is challenging. Generally, one would breakdown information needs into three categories: on need, day-to-day summary and weekly summary.

Jim Feen. Senior Vice President and CIO of Southcoast Health System (New Bedford, Mass.): This has to start with better, more granular data definitions in between HHS and the contributing states and/or healthcare facilities. Acknowledging that when we do not have total understanding of new metrics or measures, present redundancy or conflicts in requested data, this includes considerable time and overhead to a currently very complicated process for COVID-19 reporting for everyone involved.

Gene Thomas. CIO of Memorial Hospital at Gulfport (Miss.): Turnaround times are a big issue. Numerous results return in paper (fax) format, which is unfortunate and outrageous in a digital health care world. That is not basic outcomes data format.

1. Decentralization of reporting. Reporting of results needed to be done at the state level to the DOH, along with reporting of hospitalized case counts, ICU clients, clients on vents and deaths and other information. Similar however not quite the same details was required to the CDC through normal channels, as well as the website that was stood. For New Jersey health centers, much of this information was centralized in a portal stood up by the New Jersey Hospital Association in conjunction with the NJ DOH. The data from this website was then distributed upstream to satisfy federal information requirements, therefore healthcare facilities had one main reporting portal.

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The primary goals of data collection were to understand the frequency of disease in the community and the effect on medical facility bed capacity, ICU capacity, and ventilator schedule. Data meanings were irregular throughout various reporting portals, resulting in dissection of the medical facility data into numerous different frameworks. Some data meanings defined a patient as COVID positive, while others consisted of patients with thought illness in spite of an unfavorable test.

We require to think like information researchers and be clear in our ask, our definition of information aspects and the data we are asking for. The data from this website was then distributed upstream to fulfill federal information requirements, therefore healthcare facilities had one main reporting website.

Information definitions were inconsistent throughout numerous reporting websites, resulting in dissection of the medical facility information into numerous various structures.

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CIO, Information Systems of PIH Health (Whittier, Calif.): Data aggregation can develop obstacles when the standards for reporting are not clear and data got does not associate accurately throughout the base. The greatest issue with COVID-19 data that I feel need to be resolved first is to concur on an information definition to make sure everyone is reporting apples-to-apples while ensuring duplicative information is not reported from numerous organizations.