My two cents regarding the provider dimension - at least at Iowa, nobody seems to care about individual providers, but we have received numerous queries over at least the past two years that would a. restrict patients to those seen in particular clinics b. restrict patients to ambulatory vs. in-patient c. identify patients admitted to an ICU vs. a non-ICU unit , or those who are moved within units (one of our clinician-researchers is interested in premature discharges of patients from ICUs to general units who are then readmitted to the ICU)
The way we intend to handle this is through a provider-dimension polyhierarchy that drills down to individual departments, and goes no further. (One practical issue here is that the CLARITY_DEP table in Epic in our institution is minimally curated - we have departments with "names" like 1, 2, 5, etc., or a nonstandard abbreviation that is meaningful only to those who use it daily.) One of the issues regarding attempting to drill down to individual provider level is there may be multiple providers associated with a single visit, and Epic forces you to designate one person as the provider (e.g., the attending, even if the patient was seen by a resident). To some extent, this issue occurs with departments for hospitalizations as well- the department initially admitted to may not be the one where the patient spends most of her/his time. Prakash From: [email protected] [mailto:[email protected]] On Behalf Of Campbell, James R Sent: Monday, March 03, 2014 5:55 AM To: [email protected] Subject: [Gpc-dev] Agenda items for Tuesday 3/4/14 Hackathon minutes review Review of standardization principles and project plan from Hackathon Discussion of Visit dimension attributes Discussion of provider dimension: licensure and role Agenda discussion for Quality Assurance subcommittee and project planning Discussion of Diagnosis modifiers for data attribution; team input on pathologic diagnoses, radiologic diagnoses and lab diagnoses The information in this e-mail may be privileged and confidential, intended only for the use of the addressee(s) above. Any unauthorized use or disclosure of this information is prohibited. If you have received this e-mail by mistake, please delete it and immediately contact the sender. ________________________________ Notice: This UI Health Care e-mail (including attachments) is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, is confidential and may be legally privileged. If you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution, or copying of this communication is strictly prohibited. Please reply to the sender that you have received the message in error, then delete it. Thank you. ________________________________
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