In God we trust all others bring data'

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In God we trustall others bring data.

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

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The Challenge

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Challenges

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

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Challenges

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

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Other challenges

• What do we collect
• What do we measure
• Structure
• Process / system
• Outcome
• Standardization
• Outcomes
• Definitions

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Current Options

• Existing data groups
• Commercial products
• NPIC
• AWHONN
• Something new
• Independent
• Lobby national organizations

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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

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Opportunities

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Opportunities

• Establish standardized dataset
• Links with registries and other databases
• Direct link with EMRs
• Birth certificate, other
• Define our own measures
• Leadership in national measures

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Emerging Stories
February 21, 2008,  113 am Google Health Begins
Its Preseason at Cleveland Clinic
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Other opportunities

• Partnerships
• Tech industry
• SAS, Google, Microsoft, STI, Premier
• ACOG, NQF, IHI, other
• PQCNC
• CMS, other payers
• VON-P