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ISSN 1322-4913

 
Health Information Management Journal

ISSN 1833-3583 (Print) ISSN 1833-3575 (Online)
Volume 39 Number 2

Contents
Volume 39 Number 2

See previous issue> HIMJ 39(1)

Transforming data into action to improve health delivery and outcomes.
Editorial:
Health Information Managers have a role to play in the transformation of data
Jennie Shepheard
p4 
 [ More ]

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.


Guest Editorial:
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.

Reviewed articles:
Research
Translating knowledge into practice and policy: the role of knowledge networks in primary health care
Kylie Armstrong and Elizabeth Kendall p9 [ More ]
 

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.

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 ]

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.


Professional Practice and Innovation:
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 ]

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.


Reports:
SNOMED CT and its place in health information management practice
Donna Truran, Patricia Saad, Ming Zhang and Kerry Innes p37 [ More ]

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.

Updating the International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10)
Julie Rust p40 [ More ]

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.

DH & DHS Data Reform Program (Victoria): progress to date
Zoe McKenzie, Catherine Perry, Jonathan Ashley and Nyssa Dalton p41 [ More ]

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.

Hospital casemix protocol - Medibank Private perspective
John Szakiel p47 [ More ]

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.

Knowledge is power: transforming rehabilitation data into information
Nicolle Predl p49 [ More ]

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.

Conference Reports:
National Health Summit 2009
Joanne Callan, Carmel Cheney, Sonia Georgy and Lisa White p53 [ More ]

Global Health Information Forum
Lene Mikkelsen p54 [ More ]

Connecting Healthcare 2010
Darren Freestone p58 [ More ]

Professional Profiles:
Carla AbouZahr: a roundabout path to health statistics  p61 [ More ]

Linda Best: my new life as a HIM in Geneva p63 [ More ]

Saman Gamage: my career as an instructor in health information management and ICD-10 p65 [ More ]

Sonia Harwood: journey into health information management p68 [ More ]

Brief update reports:
ICD-10-AM/ACHI/ACS and AR-DRG Development Services
Kerry Innes  p70 [ More ]

HIMAA NSW Branch Meeting: Seminar report
Jo Chicco and Cassandra Jordan p71 [ More ]


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