Labkoff Steven E, Yasnoff William A
Healthcare Informatics Group, US Pharmaceuticals, Pfizer Inc, USA.
J Biomed Inform. 2007 Apr;40(2):100-5. doi: 10.1016/j.jbi.2006.01.002. Epub 2006 Feb 21.
It is widely agreed that major improvements in the safety, quality, and efficiency of health care in the US require a National Health Information Infrastructure. To accomplish this, efforts are now underway in many communities to build local or regional health information infrastructures (HIIs) that provide secure, ubiquitous access to complete health care information. To facilitate the assessment and monitoring of the progress of operational HIIs toward completion, we propose a framework of four key measures of requirements that must be ultimately be met: (1) completeness of information, (2) degree of usage, (3) types of usage, and (4) financial sustainability. To evaluate the framework, it was used by the authors to qualitatively assess HII projects in cooperation with four leading communities, resulting in ratings of 78% for Bellingham, WA, 63% for Indianapolis, IN, 60% for South Bend, IN, and 74% for Spokane, WA. Qualitative assessment of community HII systems may be helpful in monitoring progress, comparing projects, and understanding the remaining tasks needed for completion. Additional testing and refinement of the proposed framework is needed to further understand and improve HII progress measurement capabilities.
人们普遍认为，美国医疗保健在安全性、质量和效率方面取得重大改进需要一个国家卫生信息基础设施。为实现这一目标，许多社区目前正在努力建设地方或区域卫生信息基础设施（HII），以提供对完整医疗保健信息的安全、普遍访问。为便于评估和监测运营中的HII在完成方面的进展情况，我们提出了一个必须最终满足的四项关键要求衡量标准的框架：（1）信息完整性，（2）使用程度，（3）使用类型，以及（4）财务可持续性。为评估该框架，作者与四个主要社区合作，使用它对HII项目进行了定性评估，结果华盛顿州贝灵汉的评分为78%，印第安纳州印第安纳波利斯的评分为63%，印第安纳州南本德的评分为60%，华盛顿州斯波坎的评分为74%。对社区HII系统进行定性评估可能有助于监测进展、比较项目以及了解完成所需的剩余任务。需要对提议的框架进行更多测试和完善，以进一步了解并提高HII进展衡量能力。
