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Health
Information Management Journal

ISSN
1833-3583 (Print) ISSN 1833-3575 (Online)
Volume
39 Number 2
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Contents
Volume 39
Number 2
See previous
issue> HIMJ 39(1)
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Transforming
data into action to improve health delivery and outcomes.
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| Editorial: |
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Health
Information Managers have a role to play in the transformation of
data
Jennie Shepheard p4 [
More
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Abstract
The theme of this issue of the Journal – Transforming data into
action to improve health delivery and outcomes – highlights for
us the complexities involved with the management of health data
and reminds us that it takes more than data collection to provide
good health information to those who need it. The information age
has enabled us to collect an enormous amount of data, but there is
a burden associated with that data collection that does not always
return a commensurate benefit. Health Information Managers are
well aware of this burden as they are often at the forefront of
data collection. Many of the contributors to this issue are
involved in the transformation of data and clearly demonstrate the
role that Health Information Managers can play in all aspects of
the management of health data.
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| Guest
Editorial: |
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Health
reform, health data and the Health Information Manager
Kerryn Butler-Henderson p7 [ More
]
Abstract
The value of health data has been recognised for centuries.
The ancient Greeks alluded to health data collection; for example,
Plato mentions it in his theory of diseases, and reference to it
can be found in later works by philosophers such as Rousseau.
Historical records indicate health data were utilised in the 14th
century for epidemiological purposes and health service planning
during the bubonic plague. More recently, the collection of
surveillance data on the H1N1 subtype of the influenza A strain
identified swine flu outbreaks in 2009, enabling governments
throughout the world to implement infection control strategies and
public health awareness campaigns. At the recent 29th meeting of
the Council of Australian Governments (COAG) in Canberra, states
and territories (with the exception of Western Australia) agreed
to major health reform for Australia. The establishment of a
National Health and Hospitals Network will see extensive changes
to the delivery of healthcare in Australia. The theme of this
issue of the Journal, titled Transforming data into action to
improve health delivery and outcomes, is opportune, given that
Australia is now entering a time of health reform.
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| Reviewed
articles: |
| Research |
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Translating
knowledge into practice and policy: the role of knowledge networks
in primary health care
Kylie Armstrong and Elizabeth Kendall p9 [ More
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Abstract
The translation of information into practice is a well-recognised
challenge for the health sector. In the primary healthcare sector,
the last decade has seen an explosion of information generated by
health systems, universities and a range of other sources. Without
a system for translating that knowledge into practice and sharing
it in a comprehensible form, it will remain meaningless to most
practitioners. We propose the establishment of Knowledge Networks
as a promising method for supporting the rapid adoption and
generation of health information within the primary health care
sector to advance health care services. These networks will be
particularly important to the implementation of the national
reform agenda, responsive decision-making and the translation of
new frameworks or competencies into practice. This paper describes
how interdisciplinary Knowledge Networks could be established
focusing on a number of priority health research areas. Local
Knowledge Networks would be used as a platform to support a
collaborative web of evidence designed to influence health policy
and planning. Our experience with Knowledge Networks indicates
that they must be comprised of health professionals from Divisions
of General Practice, researchers, policy-makers, consumers,
government and non-government sectors. This paper will describe
these networks and show how they might support the translation of
knowledge into practice, thus driving systematic and institutional
change.
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Rethinking
health planning: a framework for organising information to
underpin collaborative health planning
Ori Gudes, Elizabeth Kendall, Tan Yigitkanlar and Virenda
Pathak and Scott Baum p18 [ More
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Abstract
The field of collaborative health planning faces significant
challenges created by the narrow focus of the available
information, the absence of a framework to organise that
information and the lack of systems to make information accessible
and guide decision-making. These challenges have been magnified by
the rise of the ‘healthy communities movement’, resulting in
more frequent calls for localised, collaborative and
evidence-driven health related decision-making. This paper
discusses the role of decision support systems as a mechanism to
facilitate collaborative health decision-making. The paper
presents a potential information management framework to underpin
a health decision support system and describes the participatory
process that is currently being used to create an online tool for
health planners using geographic information systems. The need for
a comprehensive information management framework to guide the
process of planning for healthy communities has been emphasised.
The paper also underlines the critical importance of the proposed
framework not only in forcing planners to engage with the entire
range of health determinants, but also in providing sufficient
flexibility to allow exploration of the local setting-based
determinants of health.
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| Professional
Practice and Innovation: |
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Chronic
disease, geographic location and socioeconomic disadvantage as
obstacles to equitable access to e-health
Hoon Han, Naomi Sunderland, Elizabeth Kendall, Ori Gudes
and Garth Henniker
p30 [ More
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Summary
This paper describes the method used to develop the One Stop
Crisis Centre (OSCC) Portal, an open source web-based electronic
patient record system (EPR) for the One Stop Crisis Center,
Hospital Universiti Sains Malaysia (HUSM) in Kelantan, Malaysia.
Features and functionalities of the system are presented to
demonstrate the workflow. Use of the OSCC Portal improved data
integration and data communication and contributed to improvements
in care management. With implementation of the OSCC portal,
improved coordination between disciplines and standardisation of
data in HUSM were noticed. It is expected that this will in turn
result in improved data confidentiality and data integrity. The
collected data will also be useful for quality assessment and
research. Other low-resource centers with limited computer
hardware and access to open-source software could benefit from
this endeavour.
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| Reports: |
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SNOMED
CT and its place in health information management practice
Donna Truran, Patricia Saad, Ming Zhang and Kerry Innes
p37 [ More
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Abstract
The Systematized Nomenclature of Medicine-Clinical Terminology (SNOMED
CT®) has been endorsed as an international standard reference
terminology to facilitate e-health initiatives. SNOMED CT is
developed and supported in an international collaborative effort
through the International Health Terminology Standards Development
Organization (IHTSDO) and the member countries (approximately15)
function as partnered National Release Centres1. Australia,
through our National E-Health Transition Authority (NEHTA) is a
charter member, joining this international community early and
dedicating resources to development and adoption strategies.2
There is an eagerness to drive the uptake of SNOMED CT in order to
facilitate electronic health records (EHRs) and exchange of health
information, to ensure patient safety and quality care delivery,
to provide decision support functionality and to achieve health
system efficiencies through interoperability.
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Updating
the International Classification of Diseases and Related Health
Problems, Tenth Revision (ICD-10)
Julie Rust p40 [ More
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Abstract
The Tenth Revision of ICD-10 was endorsed by the Forty-third World
Health Assembly (WHA) in May 1990. Prior to ICD-10, updates to the
classification were not made between revisions. In its report, the
WHO International Conference for the Tenth Revision of the ICD,
held in Geneva from 26 September to 2 October 1989, recommended
that ‘WHO should endorse the concept of an updating process
between revisions and give consideration as to how an effective
updating mechanism could be put in place’.1 Consequently,
mechanisms for updating ICD-10 were established in 1997 and became
operational in 1999. The managing body is the Update and Revision
Committee (URC), previously known as the Update Reference
Committee. Membership of the URC is comprised of representatives
from national WHO Family of International Classification (WHO-FIC)
Collaborating Centres, who have knowledge and expertise in ICD. In
addition, there are representatives from Mortality, Morbidity and
Functioning and Disability Reference Groups.
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DH
& DHS Data Reform Program (Victoria): progress to date
Zoe McKenzie, Catherine Perry, Jonathan Ashley and Nyssa
Dalton p41 [ More
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Abstract
The Department of Health and Department of Human Services (DH
& DHS) Data Reform Program (formerly the DH & DHS
Information Management (IM) Strategy) was established to improve
the efficiency of data collection and reporting arrangements
between the departments and external organisations and
individuals. The Data Reform Program is being undertaken
incrementally and focuses on reducing the proliferation and
duplication of program data collections, improving program data
integrity and the timely feedback of collected information to
program data providers. To achieve the objectives of the Data
Reform Program, the Department of Health has centralised and
strengthened governance processes to improve the management and
impact of its data collection and reporting requirements of
external organisations and individuals. As part of the Data Reform
Program, specialist data management tools and resources have also
been developed to support data reform within DH and DHS.
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Hospital
casemix protocol - Medibank Private perspective
John Szakiel p47 [ More
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Abstract
Hospital Casemix Protocol data provide a brief summary outlining
morbidity data and costs associated with an episode of care.
Federal government legislation requires that hospitals report this
information to private health insurers who, in turn, merge these
data with benefit outlays and report their findings to the
Department of Health and Ageing (DoHA). This article gives a brief
outline of the collection, cleansing and processing of these data
and subsequent reporting to DoHA by Medibank Private, which
accounts for approximately 30% of collected data.
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Knowledge
is power: transforming rehabilitation data into information
Nicolle Predl p49 [ More
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Abstract
The Australian Health Service Alliance (AHSA) is a company that
provides a number of services to more than 20 private health
insurers, one of which is data management. AHSA prides itself on
having excellent data and being able to provide it in an accurate,
complete and timely manner, particularly Hospital Casemix Protocol
(HCP), which is a combination of demographic and episode
information, such as diagnosis and procedure codes, admission and
separation dates. These data are used for analysis, benchmarking,
negotiations (with private hospitals) and statutory reporting.
However, AHSA had considerable data that could not be utilised
effectively in the area of rehabilitation, due to the existence of
a separate rehabilitation file (unlinked to the episode), and
missing key information to describe the type of rehabilitation.
This paper discusses the process put in place to transform data
into useful and meaningful information, for analysis, benchmarking
and payment model development.
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| Conference
Reports: |
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National
Health Summit 2009
Joanne Callan, Carmel Cheney, Sonia Georgy and Lisa White
p53 [ More
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Global
Health Information Forum
Lene Mikkelsen p54 [ More
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Connecting
Healthcare 2010
Darren Freestone p58 [ More
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| Professional
Profiles: |
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Carla
AbouZahr: a roundabout path to health statistics
p61 [ More
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Linda
Best: my new life as a HIM in Geneva p63 [ More
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Saman
Gamage: my career as an instructor in health information
management and ICD-10 p65 [ More
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Sonia
Harwood: journey into health information management p68 [ More
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| Brief
update reports: |
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ICD-10-AM/ACHI/ACS
and AR-DRG Development Services
Kerry Innes p70 [ More
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HIMAA
NSW Branch Meeting: Seminar report
Jo Chicco and Cassandra Jordan p71 [ More
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Even more reasons
to join!

©
2010 Health Information Management Association of Australia
Limited
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