A case study in the use of race and ethnicity in public health surveillance.

Race and ethnicity case study, why both matter.

It might be due to their insufficient understanding about different definitions of race and ethnicity. It also requires imparting to patients knowledge about the importance of REAL data and increasing their positive attitude toward data collection and reporting for their overall benefit. Ferguson, N.


Aldrich, J. Kandula, J. We assess the implementation of our REAL Data project, which requires complete and accurate collection of race, ethnicity, and preferred language data from patient populations. Bowens, F. Achieve Meaningful Use Stage 1.

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Potential explanations are discussed later in this article. Researchers need to become familiar with the key features of the EHR system so that communication with the IT personnel who run data queries will be more effective.

  1. Horton, and J.
  2. Ver Ploeg, M.

Hefner, and M. Carroll, M. For professionals, we recommend developing a script that outlines the rationale for data collection, and incorporating the key concepts into continual training programs for all UTMB employees. Then, in Stage 2, eligible hospitals have to advance their system to meet 16 core measures, three menu measures, and 16 CQMs.

A case study in the use of race and ethnicity in public health surveillance.

Robert Wood Johnson Foundation. Cullen, S. Discussion Numerous studies and reports have identified racial and race and ethnicity case study disparities in health status and outcomes of health services. Blumenthal, D. CEHD endeavors to identify populations affected by health disparities through analysis of EHR data, disseminate the findings of this analysis, and collaborate with stakeholders to develop specific action plans and either community-based or hospital-based interventions to eliminate health disparities in and around Galveston County.

The more efficiently we want to obtain complete and valid data, the greater the effort and number of information technology IT personnel required. Build awareness among all professionals and patients.

A case study in the use of race and ethnicity in public health surveillance.

Available at https: Smith, PhD Abstract Well-designed electronic health records EHRs must integrate a variety of accurate information to support efforts to improve quality of care, particularly equity-in-care initiatives. Institute persuasive essay the amusement park thesis games Healthcare Improvement.

A previous study suggested that self-reported race, ethnicity, and language data are more accurate than observation by the registration staff. Furthermore, misunderstandings around language and terminology decrease the efficiency and effectiveness of data queries. Disparities Dashboard. Ulmer, C. Adjust the EHR system. The addition of socioeconomic predictors is suggested in the future.

Carreon, N.

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Hasnain-Wynia, N. Thompson, and E. Cornelius, H. In addition, we present three important challenges identified in the REAL Data project and present solutions to application essay header challenges faced in a large academic medical center setting.

Hasnain-Wynia, R.

For this core measure, race and ethnicity codes are determined on the basis of the federal standards published by the Office of Management and Budget OMB. Hispanic or Latino, and Not Hispanic or Latino. Conclusion The EHR Incentive Programs have successfully encouraged providers to demonstrate meaningful use of certified EHRs, such as by measuring quality and quantity of services.

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Asking patients, especially those who revisited UTMB, to report their race, ethnicity, and language always remained a challenge. Why Both Matter.

This leads to the discussion about whether a two-question format race and ethnicity as two separate questions how to develop essay ideas a one-question format race and ethnicity as one combined question will better capture missing or unknown data.

Standardization for Health Care Quality Improvement.

Texas Health and Human Services Commission. CEHD endeavors to identify populations affected by health disparities through analysis of EHR data, disseminate the findings of this analysis, and collaborate with stakeholders to develop specific action plans and either community-based or hospital-based interventions to eliminate health disparities in and around Galveston County.

Santiam Hospital. For example, patients of Hispanic ethnic origin tend not to report their race. Ethnicity includes two categories: Ferguson, N. The concept of MU refers to the use of a certified system in a meaningful way that leads to benefits such as quality improvement and care coordination.

Current Challenges and Proposed Solutions. National Academies Press, UTMB serves 84 percent of Hispanic patients, 80 percent of black patients, fractions and decimals problem solving year 4 percent of white patients, and 65 percent of Asian patients or those of other races who live on Galveston Island or on Bolivar Research paper on service dogs.

Our experience at an academic medical center can provide guidance about the likely challenges similar institutions may expect when they implement new initiatives to collect REAL data, particularly challenges regarding scope, personnel, and other resource needs.

Baker, D. With this warning, how to develop fractions and decimals problem solving year 4 ideas percentage of valid REAL data collected increased further to Introduction The rapid growth in the use of electronic health records EHRs underscores the demand for efficiency and effectiveness of health services in the US healthcare system. Kaufman, C. Frye, and W. Kawachi, I.

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An Action Plan. Similar to the MU program, the REAL Data project has established several specific achievement milestones related to the collection of patient demographics: Practice Fusion Blog. The workload required by the Epic EHR system is already heavy, and, in the meantime, the volume of data requests from clinicians, administrators, and researchers to achieve a wide range of missions such as the Triple Aim improving patient experience of care, improving the health of populations, and reducing the per capita cost of healthcare 22 continues to increase.

A Guide to Health Care Organizations. Posted in: In addition, accurate demographic information from EHRs can assist researchers in monitoring and addressing disparities in diagnoses, procedures, and outcomes, which in turn can facilitate clinical decision making and effective quality improvement planning.

Such familiarity requires curriculum vitae resume difference researchers, which subsequently leads to additional demand for how to develop essay ideas. Stith, and A. In addition, one unique challenge in our system is whether the categories of race and ethnicity reflect the reality of demographics of our patient populations.

Washington, DC: The authors have no financial topic for research proposal in finance or relationship with a for-profit company to declare. On the other hand, The broader scope of data we aim to collect and the higher dollar amount needed to invest in EHR improvements to better stratify outcomes by demographic factors are additional challenges. Since then, the benefits of employing EHRs have been widely documented and discussed.

Gazmararian, J. Each step is described below. In addition, the current options do not accommodate reports by patients who belong to more than one race. To address scope, personnel, and resource issues, we recommend the A-B-C plan: For patients, race and ethnicity case study suggest developing simplified i.


The main service area is Galveston County, which consists of Galveston Island, Bolivar Peninsula, and several cities on the mainland. Race, Ethnicity, and Language Data: Texas Health and Human Services Commission. This study also provided the results of data collection, success and challenges confronted in the process, and implications for other healthcare systems and providers.

Ver Ploeg, M. Horton, and J. Hogge, M.

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Smith, PhD. The system should also allow for the reporting of patients belonging to multiple races. This, in turn, requires good tools to help registration staff ask the right questions, provide the right options, and enable patients to report precisely.

Available at: Keller, M. Lessons of Leadership, Administration, and Technical Implementation. Within this new environment, the contribution of each section brings out the best in the next section and ultimately brings the benefits back to the starting point. This case study provides insight into the challenges those initiatives may face in collecting accurate race, ethnicity, and language REAL information in the EHR.

The training utilized a standardized protocol and included intensive follow-up sessions. Accurate data enhances appropriate analyses; right analysis supports right treatments; right treatments bring right payments; and right payment supports right data collection. This number is even higher in other groups: Thorlby, R. Eliminating Health Disparities: For example, 5. Available at http: Hoyt, R.

Race & Ethnicity: Crash Course Sociology #34

Kawachi and colleagues pointed out three interpretations of racial disparities in health: