Supported by The Childrens Hospital Research Institute and the NIH/NCRR Colorado CTSI Grant Number UL1
RR025780. Its contents are the authors sole responsibility and do not necessarily represent official NIH views
Secondary Use
other-operations
finance-operations research
quality
finance
operations
Ts
Troubles
Tips
Tricks
Tools
p
Triumphs
Big Trouble
Standard terminologies
Whats a census?
Whats an encounter?
Units
U it off measure?
?L Lab
b collection
ll ti diff
differences?
?MMedication
di ti d dose changes?
h ?
Patient identification
List all clinic patients
Who are my y research p
patients?
EMR has one identifier
LIS may have another
Research records may have distinct identifier
Data Quality
Married 6 year olds!
Missing data, nulls, invalid dates
Impact of work flow assumptions
How we collect data impacts the interpretation of the data
Trouble: Four Examples
1. Too much data
Insufficientlyy bounded q
query
y returns too many
y
patients
2. Bad assumptions
Thats not what I wanted AT ALL!
3. Alternate realities
Finance vs Clinical definitions of complex patient
4. Data in text notes
Clinical systems built for provider adoption use
different workflows than research systems
Hematology
Troubles Ts
Business intelligence
Reporting software
Aggregating software
Research-specific tools
Human intelligence
Data request triage
Marriage: clinical / technical backgrounds
Thursdays
Collaboration
Clinical Informatics ((Research and Quality)
y)
Clinical Applications Services (Operations)
Surgical Services
Ambulatory Services
Finance
HIM
Security
IRB
Thursday Meetings
Team sharing
Review all open
p requests
q for the week
Share techniques and data sources
Unused meeting time
Review interesting or difficult queries
Introduce new knowledge
Data
D t source updates
d t
Tools
Tricks of the trade
Thursday Meetings
Use cases
Unique techniques
Troubles
Tips
Tricks
Tools
Triumphs
Contacts
Kahn.Michael@tchden.org
720-777-6407