Women's Health Equity Paper

Paper idea:

• Failure to standardize pregnancy data is a major source of safety and quality issues
  • Pregnancy episode concept must be normalized and implemented in every EHR
  • Pregnancy status is necessary for safety
  • Simple workflow actions may ameliorate data transfer
  • ADT messages should be required at the admission and discharge for deliveries to the outpatient providers
• Equal support for Women's Health Data are critical
  • IUD and contraceptive implants are Implanted UDI and should NOT be excepted
  • Need registries for these elements
  • Not one women's health data element has been supported in MU or USCDI to date:
    • Need support for pregnancy-related and preventive services specific to women including:
      • USCDI examples

• Lessons Learned:

  • Not all systems support pregnancy episodes-- this is a critical element to determine post-partum follow up
  • There may be simple actions to improve the transmission of data to outpatient providers for delivery data-- i.e. an order to transmit data
  • Electronic connections can help move delivery data but must be also enabled by the actions that move the data proactively
  • There may be methods to close out the remaining pregnancies that are not resolved and follow up even if it is not triggered by a delivery-- i.e. call patient at 42 weeks or 41
  • Data extraction is likely more time consuming than even the analytics teams anticipate
  • Follow up with teams to understand the LOE for data extraction and how to improve the time and process

  OCHIN: https://hcportal.sharepoint.com/:x:/r/sites/PM/Resources/OCHIN/Lessons%20Learned%20Template%20w%20Instructions.xlsx?d=wd9c33d26910c45b5af8a9f7d892339b7&csf=1&web=1&e=4Lkkvh

  Alliance: