1. Intro to Databases I Data Gathering
Nancy Clark, MEd
Director of Medical Informatics Education
FSU College of Medicine
11/19/2018

2. Goal Recognize Database application Participate in design process
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3. Objectives Part I Create a simple database Create a form
Students will demonstrate an understanding of databases by accomplishment of the following tasks:
Part I
Create a simple database
Create a form
Search a database
Sort a database
Query a database
Part II
Data Extraction
Create a simple report
Create a form Letter
Create mail labels
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4. Database Software Oracle SQL (‘sequal’) JFile Access HanDbase
File Maker Pro
dBase
Corel Paradox
FoxPro
Lotus Approach
JFile
HanDbase
Pendragon Forms
Satellite Forms
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5. Not Quite Databases Excel Word Tables Mail Merge/form letters
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6. Examples of Databases in Healthcare
Patient Billing
Patient Demographics
Appointment System
Centralized physician order entry (CPOE)
In the doctors office you would find the following typical databases, either on paper, or in an electronic format. When you look at hospitals you add a new layer of complexity. While it is known the CPOE is shown to increase compliance with formularies, and with evidence based guideline, decrease adverse drug events, order duplications and time to receit of services, many hospitals have not implemented these systems because of expense, training and so forth.
Medical Records
HMO Formulary
MEDLINE
Lab Data
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7. Database Functions Information for decision making Research Get paid
Improve day-to-day operation
Quality improvement
Reduce errors
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8. Healthcare Systems Databases
Hospital
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9. Vocabulary Database: Flat vs Relational Field Table Record Form Sort
Fieldname
Table
Record
Form
Sort
Search
Export/Import
Query
Print
Report
Mail Merge
Form Letter
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10. Database
Collection of similar data
Fields
Field Names
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11. Database Collection of similar data Fields Table Field Names
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12. Database Collection of similar data Fields Table Record Field Names
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13. Types of Fields Text Memo Number Date/Time Currency
Yes/No (Radio Buttons)
Object
Picture, audio, etc
Hyperlink
Pick list
Short list
Table
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14. Reasons to Use Pick Lists
Free text unpredictable
Can do summaries
Ease of reporting
Standard vocabulary
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15. Database Collection of similar data Fields Table Record
Field Names
Table
Record
Data Entry Form
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16. Field Formats Size Format Default Value Caption Validation Required?
Etc.
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17. Database
Flat
Relational
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18. Queries Filter Selects only records that meet criteria
Examples of criteria
Dates
Genders
Value ranges
Diagnoses
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19. Reports Lists of data Summaries of all or parts of data
Counts
Sums
Averages
Comparisons
Screen or printout
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20. Designing a Database
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21. Goals of Design Process
Understand your data and why tracking
Eliminate duplication data
Eliminate redundant data
Eliminate meaningless data
Promote accuracy and consistency of data
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22. Goals of Design Process
Insure ability to retrieve needed information
Support business functions using it
Easy to use
Lends itself to future growth
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23. Process Step 1 What is the purpose of the database?
What information do I want to get out of it?
What should the reports look like?
What am I going to do with this information?
Step 2
What data do I need to collect to provide this information?
Define fields, tables
Design data entry forms
Ask yourself, How much can I pay to get this developed?
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24. Big Questions in Healthcare
Where is the data going to live?
Who owns the data?
Who inputs the data?
Who can access the data?
How does the data get into the system?
Can we share data?
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25. Hands-on Experience Using JFile Using Access Using Word
Create a simple database to keep track of all of your passwords and UserIDs
Using Access
Use Wizard to create CD or Book inventory
Using Word
Create a simple mail merge
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26. Theoretical Experience
Design a diabetic patient registry
Users: practicing docs in FL
Goal: improve diabetic care based on guidelines
Provide data for research
What are the issues?
What is best way to collect and compile data? (hardware? software?)
11/19/2018