Thomas Jefferson University, Philadelphia, PA.
Drexel University, Philadelphia, PA.
AMIA Annu Symp Proc. 2022 Feb 21;2021:295-304. eCollection 2021.
Data sharing is necessary to address communication deficits along the transitions of care among community settings. Evidence-based practice supports home healthcare (HHC) patients to see their primary care team within the first two weeks of hospital discharge to reduce rehospitalization risk. A small subset of patient data collected at HHC admission is mandated to be transmitted to primary care, predominantly by fax. Using qualitative analysis, we assessed completeness of the United States Core Data for Interoperability (USCDI) interoperability standard, as compared to the patient data collected by the primary care team (topics) and HHC (classes) during the initial visit; and offer interoperability recommendations. Findings indicate the USCDI does not cover 74% of the 19 faxed HHC classes that mapped to the primary care topics, and 95% of the 38 not-faxed HHC classes. We offer USCDI recommendations to address these interoperability gaps.
数据共享对于解决社区环境中护理过渡期间的沟通障碍是必要的。循证实践支持家庭保健（HHC）患者在出院后的头两周内看到他们的初级保健团队，以降低再住院的风险。一小部分在 HHC 入院时收集的患者数据被强制传输给初级保健，主要通过传真。我们使用定性分析，评估了美国互操作性核心数据（USCDI）互操作性标准的完整性，与初级保健团队（主题）和 HHC（类别）在初始就诊期间收集的数据进行了比较；并提供了互操作性建议。研究结果表明，USCDI 没有涵盖映射到初级保健主题的 19 个传真 HHC 类的 74%，也没有涵盖 38 个未传真 HHC 类的 95%。我们提供 USCDI 建议来解决这些互操作性差距。
