Sharing the Data between Electronic Health Record (EHR) Systems in Dental Practices

BPM+ Health APE Homepage

WHO ARE WE?

Graduate students from Tufts University School of Medicine (TUSM) working towards our Master of Science in Health Informatics and Analytics.

PROJECT OVERVIEW

The focus of this capstone project will be to address the challenges that dental providers face when reaching a consensus on what information/patient data is necessary for data exchange, transfer, sharing, and referrals . The current methods for data sharing (i.e. paper and email) are not always sustainable and accurate. Thus, we are proposing an approach for standardization of clinical pathways (workflow) and data to be exchanged (data flow) using health information technology [dental Electronic Health Records (EHR) systems, telehealth, and mobile applications]. 

This project will be based on the use cases developed by the SCDI WG 11.6.

The following use cases will be analyzed in this project based on the standardized functional requirements (functional standards), and process and data modeling using BPM+ Health modeling standards: 

  1. ADA/AAO Orthodontic Referral Use Case will be used as an example for data exchange between General Dentists and Orthodontists (providers)

  2. Future ADA/AAO Use Cases grouping and standardization  

    1. Tokede, O., Ramoni, R. B., Patton, M., Da Silva, J. D., & Kalenderian, E. (2016). Clinical documentation of dental care in an era of electronic health record use. The journal of evidence-based dental practice16(3), 154–160. https://doi.org/10.1016/j.jebdp.2016.07.001

CAPSTONE DELIVERABLES

  1. PowerPoint presentation

  2. Video recording

  3. Formal paper describing methods, applications, process, and data from literature.

    These deliverables will be comprised of: 1-best practices, 2-guidelines, 3-business case/use cases, 4-clinical pathways (workflow and data flow), 5-process model, 6-functional requirements for HIT application, etc. pertinent to the development and deployment of health informatics applications/tools, 7-video presentation for ADA/AAO Website, 8-presentation at professional conference(s)

PARTICIPANTS

Graduate Students

  • Angela Reilly, RDA, Health Informatics and Analytics Program, Tufts University School of Medicine

  • Esna Meshi, DDS, Health Informatics and Analytics Program, Tufts University School of Medicine

University Preceptors

  • Anna Orlova, PhD, Associate Professor, Tufts University School of Medicine
    BPM+ Health, Academic and Professional Education (APE) Group Co-Chair

BPM+ Preceptors

  • Michael Cesino, Visible Systems Corporation, BPM+ Health, APE Group Member

  • Nicole Miller, MS, RHIA, Miller And Miller Associates USA, LLC, BPM+ Health, APE Group Member

American Dental Association/American Association of Orthodontists Preceptors

  • Carla Evans, DDS ** ADD titles here**

  • Antonio Magni **ADD titles here**

Support Manager

  • Linda Chan, Forge Forward, BPM+ Health, APE Group Member

Subject Matter Experts

  •  

PROJECT SCHEDULE DETAILS

MEETING TIMES:

  • BPM Academic & Professional Education Committee Bi-weekly calls on Tuesday 12:30pm -1:30pm

  • ADA/AAO & BPM+/APE & Tufts Capstone WebEX Meeting Weekly Fridays @ 9-11:30AM ET Meeting Number: 180 403 9201

  • SCDI WG 11.6 Bi-weekly, Fridays @ 11:15 ET (LINK?)

  • BPM+ Health Workshop - virtual) March 23-25, 2021

  • **NOTES: Friday Calls, ADA bi-weekly mtgs, APE calls on Tuesdays (TIME?), March Conference for BPM+ (add to cal)

Call Notes:

  • **create new page: add the meeting notes most recent to latest**

REFERENCES

Dental Practices 

Tokede, O., Ramoni, R. B., Patton, M., Da Silva, J. D., & Kalenderian, E. (2016). Clinical documentation of dental care in an era of electronic health record use. The journal of evidence-based dental practice16(3), 154–160. https://doi.org/10.1016/j.jebdp.2016.07.001

 Health Information Technology Standards Panel Consultation and Transfers of Care IS 09 https://www.hitsp.org/InteroperabilitySet_Details.aspx?MasterIS=true&InteroperabilityId=362&PrefixAlpha=1&APrefix=IS&PrefixNumeric=09

 

Use Case and Interoperability

Bourquard K, Orlova A, Parisot C. Understanding User Needs for Interoperability: Defining Use Cases in eHealth. JAHIMA. 2017. 88(6): 42-45. URL: http://bok.ahima.org/doc?oid=302159

 Orlova A, Bourquard K, Parisot C. Understanding User Needs for Interoperability: Standards for Business Cases in eHealth. JAHIMA. 2017. 88(7): 34-37. URL: http://bok.ahima.org/doc?oid=302184

 Orlova A, Bourquard K, Parisot C. Understanding User Needs for Interoperability: Standards for Use Cases in eHealth. JAHIMA. 2017. 88(9): 40-44. URL: http://bok.ahima.org/doc?oid=302252

 Bourquard K, Orlova A, Parisot C. Understanding User Needs for Interoperability: Collaborative Approach. JAHIMA. 2017. 88(10): 58-61: URL: http://bok.ahima.org/doc?oid=302323

 

Requirements Elicitation and UML Modeling

Bruegge B, Dutoit AH. Object-Oriented Software Engineering : Using UML, Patterns and Java2004. Pearson Education. Upper Saddle River.NJ. pp1-172. https://www.google.com/search?rlz=1C1GCEA_enUS812US812&sxsrf=ALeKk03pFEx21CyGPkb9gz54iwshJgFNIA%3A1582657697148&ei=oXBVXp3XCPmqytMPsZGBgAY&q=Bruegge+Dutoit+object+oriented+software+engineering&oq=Bruegge+Dutoit+object+oriented+software+engineering&gs_l=psy-ab.3..0i22i30l3.11000.21993..24989...0.2..0.132.1703.16j3......0....1..gws-wiz.......0i71j35i304i39j0i7i30j0i13j0i8i7i30j0i13i5i30j0i8i13i30j0i7i5i30j0i30j0i5i30j0i8i30j0i13i30.ZXiZUyC9XwI&ved=0ahUKEwjdq9uus-3nAhV5lXIEHbFIAGAQ4dUDCAs&uact=5

 

Standards

Health Level Seven (HL7). Fast Healthcare Interoperability Resources (FHIR). Resources List. https://www.hl7.org/fhir/resourcelist.html

 

Modeling Tools

Trisotech. https://www.trisotech.com/

 Visible Systems Corporation. Visible Analyst. http://www.visiblesystemscorp.com/Products/Analyst/index.htm

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