computer aided abstraction

Population health without complete clinical data is like...

Population health without complete clinical data is like...

Your incomplete data set doesn’t tell you the full story.

A population health management program without the ability to analyze a complete set of clinical data is like reading a book with missing pages.  You’re left with only your imagination to fill in important details.

Three Things to Do Right Now to Tame Your Lab Results Data Entry Backlog

Three Things to Do Right Now to Tame Your Lab Results Data Entry Backlog

When you get to the office in the morning, is there a backlog of lab results waiting to be entered in patients’ electronic medical records for you and your team?  If so, then read on…

Were you thinking of the word dread?  Or how about, “I hate it when…

What do a road trip and health information have in common?

What do a road trip and health information have in common?

I recently spent three days driving across the northern Midwestern States and through a good part of Canada with a longtime friend as we headed to a once-in-a-lifetime wilderness adventure.  As you might imagine our conversations spanning those 72 hours took as many twists and turns as did the roads we traveled.   However, one saying my friend repeated several times stood out among many insightful remarks he’d made, “Your judgement is only as good as your information.“

Mergers & Abstractions: Merging EMRs Feels Like A Forced March

Mergers & Abstractions: Merging EMRs Feels Like A Forced March

For those involved in the manual abstraction effort, the tedious nature of this work can feel like a forced march. As a result, EHR implementation costs rise, data quality deteriorates and morale suffers. It doesn’t have to be that way.

Lab Data Requirements and Health Data Capture

Lab Data Requirements and Health Data Capture

The Centers for Medicare & Medicaid Services regulates laboratory testing performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA) to ensure quality laboratory testing. CLIA sets high standards for quality control, validation of data and tests, equipment calibration, proper training and certification of users and clear end result reporting that meets proper lab data requirements.

Medical Record Software & Accessibility – Where did I leave my notes?

Medical Record Software & Accessibility – Where did I leave my notes?

Healthcare Informatics recently published an article most of us can relate to—that if you want to remember something important, it helps to write it down. Information is only useful if available. According to the article, Research: Access to Docs’ Notes Increases Medication Aherence, researchers at Geisinger Health System found that patients who had access to their doctor’s notes demonstrated an improved adherence to a medication regimen. [medical record software and information accessibility

“If I live to be 90 years old, I’ll never have enough interfaces for our labs."

“If I live to be 90 years old, I’ll never have enough interfaces for our labs."

Will you ever have all the interfaces you need?

“If I live to be 90 years old, I’ll never have enough interfaces for our labs,” the lab director of a large healthcare organization recently commented. “And with the costs and ongoing maintenance, how can we afford them?”

Part two of a seven part blog series about EMR - lab results interoperability.

Part two of a seven part blog series about EMR - lab results interoperability.

Last week I published the first in a series of seven blog posts that discuss some of the misconceptions about lab interfaces and intelligent clinical data extraction software.

Streamlining Pre-Transplant Data Extraction - deep thoughts while waiting for my morning cup of coffee

Streamlining Pre-Transplant Data Extraction - deep thoughts while waiting for my morning cup of coffee

As I’m standing in line at my favorite coffee shop, I’m thinking about how baristas have perfected workflow; and now have improved perfection by allowing me to eliminate the line entirely by ordering in advance with my smart phone. It always excites me when I see a sequence of steps refined for optimum efficiency. I know it's odd, but I'm really strange like that.

Tracking Data is a Key Component of QAPI Programs

Tracking Data is a Key Component of QAPI Programs

Tracking Data is a Key Component of QAPI Programs, not only for CMS but also now with UNOS 

One of the most challenging aspects of transplant program management is ensuring that your Quality Assessment and Process Improvement programs are measuring meaningful and actionable items that lead to program improvement. There are many factors that contribute to these projects but one thing in common is that they are all data-driven.

The Needles in the Haystack – Case Finding Tools

The Needles in the Haystack – Case Finding Tools

Case finding is a never-ending cycle of review and follow up. It’s an enormous manual effort to abstract data from patient files to populate hospital, central, state or the National cancer database to complete the case entry; as well as checking on the status of cases in suspense and quality control that binds it all together. Though I’m not a certified registrar myself, I definitely get the impression from those that I have spoken with that they continue to be fiercely devoted to the important work they do; and are steadfast in getting it right.

Computer-Aided Abstraction Assists with CTR shortage

Computer-Aided Abstraction Assists with CTR shortage

As I wrote recently, the Certified Tumor Registrar shortage is currently being exacerbated by the Commission on Cancer’s CTR Standard 5.1. I’m not saying the standard is not a worthy step to ensure that the abstraction of patient records to local registries and the NCDB is accurate - just that it clips the available pool of in-house or outsourced personnel to keep up with the load.