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Healthcare Analytics: Incorporating Occupational Information in Electronic Health Records

Posted Oct 02 2011 12:34pm

Insight into expansion of data contained in the EHR: Occupational Information and its ability to improve care.

 

Quotefirebrick At the request of the National Institute for Occupational Safety and Health (NIOSH), the Institute of Medicine (IOM) appointed the ad hoc Committee on Occupational Information and Electronic Health Records (EHRs). The overarching charge to the committee was to examine the rationale and feasibility of incorporating occupational information in EHRs and to develop recommendations on next steps for NIOSH and other partners to achieve this goal. More specifically, the committee was asked to analyze the potential benefits of including occupational information in EHRs, examine systems that are currently collecting these data in their EHR in useful ways, and explore the technical challenges that must be overcome in order to facilitate the incorporation of occupational information in EHRs.

Recommendations for Initial Focus on Occupation, Industry, and Work-Relatedness Data Elements

Recommendation 1: Conduct Demonstration Projects to Assess the Collection and Incorporation of Information on Occupation, Industry, and Work-Relatedness in the EHR

Recommendation 2: Define the Requirements and Develop Information Models for Storing and Communicating Occupational Information

Recommendation 3: Adopt Standard Occupational Classification (SOC) and North American Industry Classification System (NAICS) Coding Standards for Use in the EHR

Recommendation 4: Assess Feasibility of Autocoding Occupational Information Collected in Clinical Settings

Recommendation 5: Develop Meaningful Use Metrics and Performance Measures

Recommendation 6: Convene a Workshop to Assess Ethical and Privacy Concerns and Challenges Associated with Including Occupational Information in the EHR

Recommendation 7: Develop and Test Innovative Methods for the Collection of Occupational Information for Linking to the EHR

Recommendation 8: Develop Clinical Decision-Support Logic, Education Materials and Return-to-Work Tools

Recommendation 9: Develop and Assess Methods for Collecting Standardized Exposure Data

Recommendation 10: Assess the Impact of Incorporating Occupational Information in the EHR on Meaningful Use Goals



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