Health and Safety
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Part 1
Recognizing the intersection of HIT, health care services quality, and patient outcomes as an area of dramatic evolution, the National Quality Forum (NQF) convened a committee of stakeholders, the HIT Safety Committee, to develop recommendations for measurement of HIT-related safety issues. The committee provided input and direction on the development of a conceptual framework to analyze HIT safety measures with potential for both improving HIT safety and leveraging HIT to improve patient safety.
NQF developed 9 key measures of HIT safety, including:
- Clinical decision support
- System interoperability
- Patient identification
- User-centered design
- System downtime
- Feedback & information sharing
- Use of HIT for quality documentation
- Patient engagement
- Risk management infrastructure
Which of these measures would you treat as priorities based on their potential to rapidly and effectively accomplish the intended HIT safety improvements?
Part 2
The Institute of Medicine (IOM) has been engaged in a multi-phase quality initiative since 1996, when it began to assess and improve quality of care in the U.S. In the first phase of the initiative, IOM documented quality problems and concluded that the resulting harm is staggering.
During the second phase of the initiative, IOM issued two landmark reports: To Err is Human: Building a safer health system (1999) and Crossing the Quality Chasm: A new health system for the 21st century (2001). These reports detail a vision of how the health care enterprise and related policy environment must be transformed to close the gap between safe, efficient quality care and actual practice.
In the third phase, IOM’s quality initiative focuses on operationalizing the vision of a future health system described in the Quality Chasm report, and advocates that government should do more to leverage its multiple roles as regulator, purchaser, and care provider to improve quality and align more seamlessly in the learning health system.
What future roles do you envision for ongoing public-private collaborations to achieve the goal of optimizing government’s alignment in the learning health system envisioned by IOM? Please provide one example of a successful public-private collaboration to support your suggestion.
Here are some resources for you to help you on this questions:
Hahn Reizner, S. “List of Government Entities and the Organizations with Which They Collaborate.” March 24 2016.
These readings are available online.
Asnaani, Jitin. “CommonWell’s JASON Task Force Testimony: A Shared Vision for a National ‘Robust Healthcare Architecture.'”
CommonWell Health Alliance, August 18, 2014.
Identification and Prioritization of HIT Patient Safety Measures
. National Quality Forum, February 2016.
“Policymaking, Regulation, & Strategy: Federal-State Health Care Coordination.”
HealthIT.gov. September 6, 2013.
“Safe Use of Health Information Technology.”
Sentinel Event Alert 54 (March 31, 2015): 1-6.
Smith, M., Saunders, R., Stuckhardt, L., McGinnis, J.M., editors. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America
. Washington, DC: National Academies Press, 2013.
“Welcome to the Argonaut Project.”
HL7 Argonaut Project Wiki. March 22, 2016.
National Quality Forum. 2016.
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Healthcare information technology (HIT) is important for the development of healthcare systems since it effectively and efficiently handles the operations required to promote the needed care for the patient together with the records for the healthcare organization employees………………………………………
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