Hoffman K J
Department of Preventive Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799, USA.
Proc AMIA Annu Fall Symp. 1997:111-5.
Today, the process of mental health assessments and treatment are difficult to describe and assimilate into other medical areas. Integrated patient summaries and treatment descriptions are poorly standardized. Any aggregate data analysis must rely on the very few standardized patient data points that may include some demographic information, diagnosis and codable procedures. This paper describes one of the first published attempts to use business process reengineering (BPR) Integrated Computer Assisted Manufacturing Definition (IDEF) activity and data modeling within a focused clinical setting. The clinician's desire to focus on patient care has been used to create both a current and an idealized activity and data model. Clinical patient information was used to build an analyzable database. This provides the potential to track a patient in data throughout a continuum of care. Conceptually, outcomes management is able to use clinical, rather than administrative or claims, data. These models were used to create a prototype for a computer-based patient record which would allow outcomes management. It was tested successfully as a proof of concept.
如今,心理健康评估和治疗过程很难描述,也难以融入其他医学领域。综合患者摘要和治疗描述的标准化程度很低。任何汇总数据分析都必须依赖极少数标准化的患者数据点,这些数据点可能包括一些人口统计学信息、诊断和可编码程序。本文介绍了首次发表的尝试之一,即在聚焦的临床环境中使用业务流程再造(BPR)集成计算机辅助制造定义(IDEF)活动和数据建模。临床医生专注于患者护理的愿望被用于创建当前和理想化的活动及数据模型。临床患者信息被用于构建一个可分析的数据库。这提供了在连续护理过程中跟踪患者数据的潜力。从概念上讲,结果管理能够使用临床数据,而不是行政或理赔数据。这些模型被用于创建一个基于计算机的患者记录原型,该原型将允许进行结果管理。作为概念验证,它已成功测试。