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Instructions:
Capturing Health Program and Medical Question Term Paper
Hi,
Please read and contribute to peer discussion in 100 words with at least 2-3 credible references in APA style.
Peer 1
Strong, robust systems for capturing health program data are essential to tracking progress toward health objectives, such as the Millennium Development Goals, and will be central to supporting data-informed decisions as part of the new Sustainable Development Goals. The data quality
assessment tools were originally developed as part of global efforts to combat AIDS, malaria, and tuberculosis.
Ambitious plans for national programs and donor-funded projects were in the works to reduce the burden of disease in countries around the world. Measuring the success and improving the management of these initiatives is predicated on strong monitoring and evaluation (M&E) systems that
produce good-quality data related to program implementation. In the spirit of the “Three Ones,” the “Stop TB Strategy,” and the “Roll Back Malaria Global Strategic Plan,” a number of multilateral and bilateral organizations collaborated to develop the Data Quality Audit (DQA) Tool. This tool captures
high-priority indicators from HIV and AIDS, tuberculosis, and malaria programs and offers a common approach to assessing and improving overall data quality. Having a single tool helps to ensure that standards are harmonized and allows for joint implementation by partners and national programs.
Implementing the DQA tool revealed the need for a capacity-building and self-assessment version. To that end, MEASURE Evaluation (funded by the U.S. Agency for International Development), the World Health Organization, the U.S. President’s Emergency Plan for AIDS Relief, and the Global Fund to
Fight AIDS, Tuberculosis and Malaria worked together to develop the Routine Data Quality Assessment (RDQA) Tool. We designed it to build the capacity of health programs to assess and improve the quality of their data.
The tool has subsequently been applied many times—both by individual health
programs and by country health management information systems (HMIS). The RDQA tool verifies the quality of reported data and assesses the underlying data management and reporting systems for standard program-level output indicators.
Purpose: Performance standards for birth defects surveillance are intended to improve and standardize operations, outcomes, and surveillance functions across state programs, thereby making data more consistent and useful for a variety of purposes at local, state, multi-state, and national levels.
Format: This assessment tool lists performance indicators and associated measurements for data quality. Each line item measurement identifies the level of standards performance.
Performance indicators are organized into completeness, timeliness, and accuracy categories.
Definition-explanations: Each performance indicator is followed by the definition that provided clarification of how to interpret the indicator and the reason/explanation for the specific performance indicator. (Data Quality Assessment Tool, n.d.)
Data quality assessment tool for birth defects surveillance:
Check the highest Performance level that applies.. Level1 – Unable to achieve Level3 – Achieved
Completeness |
Level 1 | Level 2 | Level 3 |
Types of data sources are used systemically and routinely to identify potential cases at the population-based level. | Level 1 | Level 2 | Level 3 |
Birth defects included using standard definitions | Level 1 | Level 2 | Level 3 |
Pregnancy outcomes included | Level 1 | Level 2 | Level 3 |
Systematic and routine identification of cases during ascertainment period (age of diagnosis) | Level 1 | Level 2 | Level 3 |
Data elements collected | Level 1 | Level 2 | Level 3 |
Timeliness | Level 1 | Level 2 | Level 3 |
Time of case data completion for “core” list | Level 1 | Level 2 | Level 3 |
Time of case data completion for “recommended” list | Level 1 | Level 2 | Level 3 |
Accuracy | Level 1 | Level 2 | Level 3 |
Data quality procedures for verification of case diagnosis | Level 1 | Level 2 | Level 3 |
Scope of birth defects verified | Level 1 | Level 2 | Level 3 |
Level of expertise for individuals who perform case diagnosis verification | Level 1 | Level 2 | Level 3 |
Database quality assurance process | Level 1 | Level 2 | Level 3 |
References
Data Quality Assessment Tool. (n.d.). National Birth Defects Prevention Network. Retrieved February 3, 2022, from https://www.nbdpn.org/docs/BD_data_quality_assessment_tool_2015_2016DEC14.pdf
Routine Data Quality Assessment Tool – User Manual — MEASURE Evaluation. (n.d.). MEASURE Evaluation. Retrieved February 3, 2022, from https://www.measureevaluation.org/resources/publications/ms-17-117.html
Peer 2
The paper-based medical record has been largely being replaced in most United States (U.S.) healthcare facilities with the Electronic Health Record (EHR). The EHR is like a paper one, except all the information gets stored electronically. The EHR has the same components necessary for the patient’s information. The components are and are not limited to name, date of birth, gender, marital status, demographics address. Additional components included insurance information, vital signs, diagnoses, medical history, immunization dates, progress notes, lab data, imaging reports, and allergies. The purpose of EHR is to ensure that the patients receive the best quality of care. In the U.S. if a person has been seen by a healthcare provider a medical record will and has been created and all this information is called data (Digital Health, 2020) Data is formulated by multiple providers along the patient’s care continuum all data must have integrity, be reliable and be accurate. The Health Information Management (HIM) staff ensures that all data in the EHR is reliable and accurate. The American Health Information Management Association (AHIMA along with the AHIMA Governance Principles for Healthcare (IGPHC) enacted key principles for data information (AHIMA, 2015). The measures of data quality are Accountability, Transparency Integrity, Protection, Compliance, Availability, Retention, and Disposition. Oachs & Watters,( 2020) “ healthcare delivery systems are increasingly using quality metrics to benchmark and assess the quality of care, and inform improvement initiatives”. In conclusion, the best practice for the HIM department to achieve “data goals” of integrity, reliability, and accuracy is the have a Data Quality Tool Kit (DQTK) for EHR as indicated below.
Data Quality Tool Kit
Data Quality Characteristics | Data Measure(s) | Select Yes or No
The record meets the data quality measure |
Comments |
Data Accuracy
Data is free of errors |
Is the patient’s name on every page?
Is the patient’s date of birth correct and gender correct? |
Yes———No—– | |
Data Timeliness
All data is up to date in the EHR, within healthcare’s determined time frame, |
Is the History & Physical documented within 24 hours of admission? Is the Discharge summary written no later than 24 hours post-discharge? | Yes———No—- | |
Data Comprehensiveness
Each patient encounter is documented and in the EHR. |
Are all patient encounters accounted for, date, time, and signed by the appropriate provider or clinician? | Yes———No—– | |
Data Currency
All data is up to date and the EHR is assessable and available |
Current admission notes are documented and in the EHR | Yes———No—– |
References
American Health Information Management Association (2015). Data Quality Management Model (2015 Update) Retired. https://library.ahima.org/PB/DataQualityModel#.Yft…
Digital Health (2020). https://digitalhealth.folio3.com/blog/10-component…
Oachs, P. K., & Watters, A. L. (2020). Health information management: Concepts, principles, and practice (6th ed.). AH
Capturing Health Program and Medical Question Term Paper
RUBRIC |
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Excellent Quality 95-100%
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Introduction
45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Literature Support 91-84 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met. |
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Average Score 50-85% |
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided. |
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration. |
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met. |
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Poor Quality 0-45% |
37-1 points The background and/or significance are missing. No search history information is provided. |
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration. |
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met |
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Capturing Health Program and Medical Question Term Paper |