designing for industry standards

15 Feb 2006 - 10:41am
8 years ago
6 replies
569 reads
Todd Roberts
2005

I work in the healthcare industry and we are prepping to convert our
electronic health record to use industry-standard data structures for ease
of data exchange.

My question is whose responsibility is it to maintain knowledge of the
standard(s) to ensure that all the required data elements are captured? Is
it the IxDs, a separate organizational "standards guru" that acts as a
consultant to the IxDs, someone else, all of the above? Our current
situation is that there are only a few designers so having us all learn the
standard is not a huge issue (aside from lack of time), but any new
designers that come in would have to consult with those in the know anyway,
so there might not be an advantage of having multiple people go through the
training to learn the standard.

If anyone has experience with industry standard data requirements, be it
healthcare, Sarbanes-Oxley, whatever, I'd be appreciative of any insights
from your experiences.

Thanks,

Todd

Comments

15 Feb 2006 - 11:01am
Markus Grupp-TM
2006

>> If anyone has experience with industry standard data requirements, be it healthcare, Sarbanes-Oxley, whatever, I'd be
>> appreciative of any insights from your experiences.

Todd,

The National Health Service in Britain is in the process of introducing a set of data standards through its National Programme for Information Technology.

As far as I know, the data standards are being determined by subject matter experts (surgeons, consultants, general practitioners, pharmacists) working alongside information designers.

IAs and IxDs are involved "Common UI" component of the project, which is focussed in developing the standardized, web-based UI that incorporates these data standards.

15 Feb 2006 - 11:17am
Todd Roberts
2005

Markus,

That's pretty cool that Britain is making the UI standards a part of the
data standards process. In the US there isn't a governmental body (that I
know of) that's taking on the issue of health care data standards, it's more
of a "you guys do whatever you want, just make sure your systems can talk to
each other" approach.

To be more specific (and to clarify what I'm asking), I work for a community
health organization and we've developed an administration/practice
management/health record system that everyone in the organization uses, from
clinicians to billing to directors. We will be refactoring the system to
match the HL7 XML standard, which is being developed by a wide range of
organizations within the industry. So, we are in the position of matching an
existing standard rather than developing one.

Thanks,

Todd

On 2/15/06, Markus Grupp-TM <Markus.Grupp at telus.com> wrote:
>
> >> If anyone has experience with industry standard data requirements, be
> it healthcare, Sarbanes-Oxley, whatever, I'd be
> >> appreciative of any insights from your experiences.
>
> Todd,
>
> The National Health Service in Britain is in the process of introducing a
> set of data standards through its National Programme for Information
> Technology.
>
> As far as I know, the data standards are being determined by subject
> matter experts (surgeons, consultants, general practitioners, pharmacists)
> working alongside information designers.
>
> IAs and IxDs are involved "Common UI" component of the project, which is
> focussed in developing the standardized, web-based UI that incorporates
> these data standards.
>
>
>
>

15 Feb 2006 - 2:34pm
Todd Roberts
2005

Thanks for the reply Erika,

How do you find out what data needs to be collected to match HL7? That's all
the detail I'm thinking we'd need as well, letting the developers worry
about implementation. Our system is modular, so I'm imagining that any time
we are designing a new module we'd need a way to find out what required data
is related to that module.

We've just started looking into this, so I apologize for any questions that
seem to have obvious answers :)

On 2/15/06, Erika Orrick <erika at orrickweb.com> wrote:
>
> Hi Todd,
>
> I too work for a company that builds EMR/PM systems, we have had HL7
> implemented for a while now. As an interaction designer here, all I pay
> attention to about HL7 is what data I need to collect from the user, and
> what data I need to display. We have a platform group that deals with
> lower-level interface issues such as HL7, EDI, database, etc. Not sure how
> big your company is, or how specialized the folks are, but I was surprised
> to see that anyone was requesting the IxD's really worry about HL7.
>
> I would recommend one or two of you attend the training, but my personal
> opinion is you don't all need to go. Hope this helps.
>
> Erika
>
> ---
> Erika Orrick
> erika at orrickweb.com
>

15 Feb 2006 - 7:32pm
jbellis
2005

Todd,
Good question, which means there is no single answer.

I work at a company that has built a business serving pharmaceutical
companies' need to deliver drug regulatory submissions in a format called
eCTD, defined by the ICH: http://www.ich.org. The standard has the built in
advantage of being so arcane that it is perfect for outsourcing. And the
docs represent a new low in technical writing, so whoever knows the spec
owns the keys to the kingdom.

I suspect that one could look at a given company's org chart indefinitely,
without a clear answer popping out... a block that says "We should be held
accountable for <stds> expertise." In our company, it's Regulatory Affairs,
but it's possible the department only came into existence when people who
"knew the spec" got named as a department.

I personally believe that the real answer is that the future belongs to
companies that train (because anything that doesn't require training will be
relegated to machines), and everyone who is at all involved should be
trained on the standards. Ideally a good computer program should make the
spec immaterial, but we're talking about the road, not the destination,
right?

www.jackBellis.com, www.UsabilityInstitute.com

----- Original Message -----
From: "Todd Roberts" <trrobert at gmail.com>
Subject: [IxDA Discuss] designing for industry standards

>
> My question is whose responsibility is it to maintain knowledge of the
> standard(s) to ensure that all the required data elements are captured?

15 Feb 2006 - 2:28pm
ErikaOrrick
1969

Hi Todd,

I too work for a company that builds EMR/PM systems, we have had HL7 implemented for a while now. As an interaction designer here, all I pay attention to about HL7 is what data I need to collect from the user, and what data I need to display. We have a platform group that deals with lower-level interface issues such as HL7, EDI, database, etc. Not sure how big your company is, or how specialized the folks are, but I was surprised to see that anyone was requesting the IxD's really worry about HL7.

I would recommend one or two of you attend the training, but my personal opinion is you don't all need to go. Hope this helps.

Erika

---
Erika Orrick
erika at orrickweb.com

-----Original Message-----
From: discuss-bounces at lists.interactiondesigners.com on behalf of Todd Roberts
Sent: Wed 2/15/2006 10:31 AM
To: ixda
Subject: Re: [IxDA Discuss] designing for industry standards

[Please voluntarily trim replies to include only relevant quoted material.]

Markus,

That's pretty cool that Britain is making the UI standards a part of the
data standards process. In the US there isn't a governmental body (that I
know of) that's taking on the issue of health care data standards, it's more
of a "you guys do whatever you want, just make sure your systems can talk to
each other" approach.

To be more specific (and to clarify what I'm asking), I work for a community
health organization and we've developed an administration/practice
management/health record system that everyone in the organization uses, from
clinicians to billing to directors. We will be refactoring the system to
match the HL7 XML standard, which is being developed by a wide range of
organizations within the industry. So, we are in the position of matching an
existing standard rather than developing one.

Thanks,

Todd

On 2/15/06, Markus Grupp-TM <Markus.Grupp at telus.com> wrote:
>
> >> If anyone has experience with industry standard data requirements, be
> it healthcare, Sarbanes-Oxley, whatever, I'd be
> >> appreciative of any insights from your experiences.
>
> Todd,
>
> The National Health Service in Britain is in the process of introducing a
> set of data standards through its National Programme for Information
> Technology.
>
> As far as I know, the data standards are being determined by subject
> matter experts (surgeons, consultants, general practitioners, pharmacists)
> working alongside information designers.
>
> IAs and IxDs are involved "Common UI" component of the project, which is
> focussed in developing the standardized, web-based UI that incorporates
> these data standards.
>
>
>
>
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20 Feb 2006 - 8:17am
jrrogan
2005

Hi Todd,

Not sure if this bit of info will help, but... I worked with Ingenix/UHG on
a claims judification software product, which used Ingenix codes, (somewhat
of a default for the US Provider and Insurance Industry), and these were
often based on HIPAA, (sort of). Ingenix has created a standard "Claim" set
of data, and has a 50 million dollar piece of software which maps data from
various contracts to this standardized Claim, (actually the software
identifys and manages variances as well).

I beleive the issue of a lack of standards comes from the way Providers set
up their billing for proceedures, where no 2 Provider Organizations bill in
the same manner.

This is a big problem as you well know, and often based on contractual
obligations which insurers/comapnies and providers have agreed upon.

A trend from insurers is to standardize contracts thus leading to
standardized billing. UHG now has only 3 contracts, (or at least that's what
they said they'd be down to by now), which should move the industry
naturally in this direction.

Rich

On 2/15/06, Todd Roberts <trrobert at gmail.com> wrote:
>
> [Please voluntarily trim replies to include only relevant quoted
> material.]
>
> Thanks for the reply Erika,
>
> How do you find out what data needs to be collected to match HL7? That's
> all
> the detail I'm thinking we'd need as well, letting the developers worry
> about implementation. Our system is modular, so I'm imagining that any
> time
> we are designing a new module we'd need a way to find out what required
> data
> is related to that module.
>
> We've just started looking into this, so I apologize for any questions
> that
> seem to have obvious answers :)
>
>
> On 2/15/06, Erika Orrick <erika at orrickweb.com> wrote:
> >
> > Hi Todd,
> >
> > I too work for a company that builds EMR/PM systems, we have had HL7
> > implemented for a while now. As an interaction designer here, all I pay
> > attention to about HL7 is what data I need to collect from the user, and
> > what data I need to display. We have a platform group that deals with
> > lower-level interface issues such as HL7, EDI, database, etc. Not sure
> how
> > big your company is, or how specialized the folks are, but I was
> surprised
> > to see that anyone was requesting the IxD's really worry about HL7.
> >
> > I would recommend one or two of you attend the training, but my personal
> > opinion is you don't all need to go. Hope this helps.
> >
> > Erika
> >
> > ---
> > Erika Orrick
> > erika at orrickweb.com
> >
> ________________________________________________________________
> Welcome to the Interaction Design Association (IxDA)!
> To post to this list ....... discuss at ixda.org
> List Guidelines ............ http://listguide.ixda.org/
> List Help .................. http://listhelp.ixda.org/
> (Un)Subscription Options ... http://subscription-options.ixda.org/
> Announcements List ......... http://subscribe-announce.ixda.org/
> Questions .................. lists at ixda.org
> Home ....................... http://ixda.org/
> Resource Library ........... http://resources.ixda.org
>

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