Case study You have been hired as an informatician at a state health department.
ID: 238008 • Letter: C
Question
Case study You have been hired as an informatician at a state health department. The health department is developing systems to receive laboratory and clinical case reports from clinical settings, such as hospitals and doctor's offices. Your state has had an immunization registry in operation for several years and has been successful in getting cooperation from healthcare settings to send data to the system. Discussion Questions 1. Why is the system for reporting immunizations and receiving results at the health department so successful, particularly in comparison to the struggles you are observing as the health department sets up its laboratory and case reporting systems? 2. What is the difference between the information required to report the administration of an immunization and the information required to report a person with a communicable disease? 3. What standard vocabulary is used to code a vaccine name and how is this vocabulary different from the LOINC or SNOMED-C vocabularies required for laboratory and clinical case reporting? 4. What is the value proposition for a healthcare provider to participate in an immunization registry?Explanation / Answer
1.The Immunized Data Report is successful because of the computerized system and is population-based. The healthcare providers record all the doses of immunization given within the particular geographic area. The informatician must communicate with both the clinician and public health system in maintaining of immunization Reporting data. It is responsible for the informatician to maintain an accurate data to know the total coverage of vaccinations in the overall population. Maintaining of Immunization Information System is helpful to know each person immunization record and to reach the healthy people goal.
The immunization schedule is rule-based and is recorded in the immunization schedule to prevent repeated vaccination and costs. Further, the immunization registry is tie up with the kid's schedule, statewide and the future appointments of schedules so that maintaining of Immunization reporting system is successful. But the maintaining of lab reports is difficult because it differs in each place and the timely availability of information and verification of reports are all the issues.
2. The communicable disease reporting is difficult because it is not accessed through an electronic system and also it changed during the disease outbreak and it differs in each state. The informatician has in-depth knowledge in the analysis of lab reports in the clinical systems and the automated laboratory system. Because the clinical diagnosis has multiple laboratories values but the informatician has to access the single required values. the information is further filtered when reporting to the CDC against the notable disease. Whereas the immunization reporting system is fully electronically based and is updated whenever and wherever the immunization has taken. Additionally, health care providers also recorded the administration of immunization doses. So it is easy to maintain the reporting system.
3. PHIN vocabulary services enable to use the vocabulary system in the public health systems. Logical Observation Identifiers Names and Codes (LOINC), Systemized Nomenclature for Medicines (SNOMED), are used for reportable events. The CVX code is used for vaccination. An MVX code is used along with this which specify the trade name of the vaccine. The Public Health Information System provides an exchange of information easier in the Public health care system.
4. The operating system and the software make the informatician problematic in this process. Sometimes the software system may be used by different users. further, the IT supply in the local areas is difficult. Vendors are also failing to provide the required capabilities and support systems. The immunization registry requires the IT support, decision support, and standards in the information system. Good computer knowledge and standard information system and knowledge of exchange of information are necessary.