“In God we trust…… all others bring data….”

Foundations of CQI: Elements of Data Collection, Sharing, and Learning

The Challenge

Challenges Money –Time & personnel for data entry –Software –Hardware Data compatibility –Within institutions –Between institutions –With neonatal / pediatric –National initiatives

Challenges Who owns the data Data governance / management Misuse / abuse of data –Marketing –Competition –Payer leverage –Formal data agreements

Other challenges What do we collect What do we measure –Structure –Process / system –Outcome Standardization –Outcomes –Definitions

Current Options Existing data groups Commercial products –NPIC –AWHONN Something new –Independent –Lobby national organizations

Limitations Current – mostly administrative datasets –Financial / coding Outcomes oriented –Limited insight into process and structure Limited datasets –VON – VLBW infants; limited maternal data Limited linkage between mother & infant ‘Garbage in – garbage out’

Opportunities

Establish standardized dataset Links with registries and other databases –Direct link with EMR’s –Birth certificate, other Define our own measures Leadership in national measures

Emerging Stories February 21, 2008, 1:13 am Google Health Begins Its Preseason at Cleveland Clinic

Other opportunities Partnerships –Tech industry SAS, Google, Microsoft, STI, Premier…… –ACOG, NQF, IHI, other –PQCNC –CMS, other payers –‘VON-P’