CAP STS - SNOMED Terminology Solutions
SNOMED STS SNOMED Terminology Solutions CAP

 

 

 

 

 

CAP STS: A Leader in Health Information Management

CAP STS Offers Diversified Services for Health Information Management
The federal government has made progress in laying the foundation for adoption of electronic health records (EHRs) through the incentive program under the Health Information Technology for Economic and Clinical Health (HITECH) Act. Recently, the White House called for a “universal exchange language”to enable health care providers to better share information.

CAP STS has been working with and developing universal health standards that help providers exchange information for more than 40 years. Today, CAP STS is committed to improving patient care through the advancement of interoperable EHRs and helping providers navigate complex issues and meet Meaningful Use and HITECH Act requirements.

Learn more about CAP STS.

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CAP STS Services and Solutions

Our range of professional services and solutions will assist you in many areas:

  • Achieve Interoperability
  • Health IT strategy and planning
  • Semantic interoperability
  • Health information exchange initiatives


  • Ensure Information and Clinical Content Quality
  • Health information management
  • Healthcare standards
  • Data standardization
  • Clinical terminology
  • Clinical informatics
  • Research data management
  • Mapping


  • Enable Performance Improvement
  • Meaningful Use and HITECH Act requirements
  • Reporting and quality metrics
  • Synoptic reporting
  • Outcomes measurements


  • Build Organizational Capability
  • Custom education
  • Classroom sessions
  • Self-directed learning courses
  • Web teleconferences


  • Create Solutions With Licensed Content
  • Anatomic pathology subset
  • CAP electronic Cancer Checklists (CAP eCC)
  • NANDA I Nursing Map
  • NIC Nursing Map
  • NOC Nursing Map
  • PNDS Nursing Map
  • CCC Nursing Map
  • Omaha System Nursing Map

Other CAP STS Services
DIHIT
CAP STS ’ DIHIT (Diagnostic Intelligence and Health Information Technology) team is committed to improving and/or developing health IT standards, practices, tools, and standardized reporting. The CAP eCC (electronic Cancer Checklists) and the CAP Diagnostic Work Station are two examples of such initiatives.

Laboratory Services
CAP STS’ laboratory services can help you build terminology solutions and streamline your laboratory ordering and reporting processes by leveraging use of standards and structured data reporting to improve capacity to improve laboratory analytic capabilities.

Grants and Research Services
Today, there is a push in our health care system to collaborate, share, and analyze data. CAP STS’ grants and research services help organizations to accurately and meaningfully share their data with other researchers as well as clinicians.

Education
CAP STS offers clinical terminology and standards education (SNOMED CT®, LOINC®, RxNorm, etc.) to complement all consulting Professional Services. Education services include: customized education; on-site education at your location; classroom sessions at CAP STS (Deerfield, Ill.); and Web teleconferences. We incorporate terminology best practices in all of our educational and training products, and all programs can be customized for your organization’s needs and tailored to your audience’s skill level. In addition to our online courses, we offer live, in-person training at our facility, or we can come to you for personalized, hands-on training.

Why CAP STS?

  • The CAP, a medical society serving more than 17,000 physician members and the laboratory community throughout the world, is considered the leader in laboratory quality assurance.
  • The CAP holds more than 40 years of experience in terminology development resulting in the creation of SNOMED Clinical Terms® (SNOMED CT®)—a globally recognized, controlled clinical vocabulary.
  • CAP STS is the developer of cross mappings to ICD-9-CM, nursing terminologies (NANDA, NIC, NOC, PNDS, etc.), and CPT, as well as laboratory and pharmacy coding schemas (RxNorm).
  • CAP STS has industry experience in health information technology and standards development such as DICOM, HL7, IHE, and the International Health Standards Development Organisation (IHTSDO®).
  • CAP STS is the originator of the CAP electronic Cancer Checklists (CAP eCC), recognized as a “gold standard” in cancer case summary reporting.

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CAP STS Expertise and Engagements

Clinical Terminology and Related ServicesClinical Informatics Quality and Performance ImprovementHealth IT Strategy and Planning
    •Assessments
     and Planning
     services

    •Implementation
     and Delivery
     Services

    •Reporting and
     Data Quality
     Services

    •Education
     Services 		    •Best Practices
     and Informatics
     Assessment
     and Planning

    •Best Clinical
     Care Practices
     and Informatics
     Implementation

    •Reporting and
     Quality Metrics
     Development 		   •Organizational
     Benchmarks,
     Metrics, and
     Dashboards

    •Implementation
     and Delivery
     Services 		    •Health
     Exchange
     Initiatives

    •Disease
     Registries

    •Research Data
     Standardization
  • Clinical Terminology and Related Services
  • Assessments and Planning Services
  • Regional Health Authority
    Performed an extensive terminology assessment to determine ideal state of terminology use, CAP STS produced a technical report outlining the strategic alternatives to facilitate wide adoption of SNOMED CT at a national level. The report informed a European-wide project as well.
  • Ambulatory EHR Vendor
    Reviewed an ambulatory EHR application to provide advice and guidance on terminology requirements. Work included a technical review of terminology storage, strategies for pre- and post-coordination, terminology update management, mapping templates strategies, and forms encoding.
  • EHR Vendor
    Reviewed EHR application including the existing clinical content choices, development of a strategy to map clinical content to SNOMED CT, and identification of implications for application users.
  • Implementation and Delivery Services
  • Large Hospital
    Provided a terminology strategy and implementation plan, as well as the clinical and technical expertise to help the healthcare provider build a lexicon based on open source DTS (Distributed Terminology System). A model was provided to show how terminology standardization could be applied to the client's other documentation and clinical applications to improve the quality of clinical records for reporting, operational efficiencies, and outcomes.
  • Reporting and Data Quality Services
  • CAP eCC
    The electronic structured and encoded assessment and patient data collection forms used for the Cancer Checklists have been developed with the vision that this is an architecture and standard that should be applied to many types of processes and guidelines that require structured methods for data collection and reporting in healthcare.
  • Education Services
  • CAP STS has delivered custom education to numerous clients worldwide and continues to offer education in a variety of formats: Web teleconference, self-directed learning, and classroom sessions.
  • Clinical Informatics
  • Best Practices and Informatics Assessment and Planning
  • Health Content Provider
    Assessed current state of content provider databases as well as the structure, coding, and indexing of information. Included a technical database assessment and the development of a content transformation plan.
  • Best Clinical Care Practices and Informatics Implementation
  • Hospital Network
    Overall project focused on the strategic information needs and standardization of nomenclature for the activities that directly pertain to clinical care, quality, and patient safety.
  • Reporting and Quality Metrics Development
  • Hospital Network
    Structured analysis of the data and terminology needs and gaps for recording and reporting meaningful use quality measures across the patient continuum of care.
  • Health IT Strategy and Planning
  • Health Exchange Initiatives
  • Chicago Regional Extension Center (REC)
    CAP STS will develop and offer a Web teleconference to all providers in the service area focused on SNOMED CT, the National Library of Medicine's (NLM) Clinical Observations Recording and Encoding (CORE) Problem List and other standards such as ICD-9-CM and ICD-10-CM. In addition to the Web teleconference course, CAP STS will provide onsite and telephone implementation guidance, education, and mentoring.
  • Disease Registries
  • University of South Florida (USF) Collaboration: Rare Diseases Grant
    The primary objective of the grant is to develop standardized questions for patient registries across many different rare diseases, which can be used to develop new registries or revise existing ones. In this project, a combination of domain experts in rare diseases research (USF and the Rare Disease Clinical Network) and technical experts (CAP STS) will be used to develop a coded library of standardized questions relevant to various rare diseases, with plans for implementation into the broader rare diseases research community. The library questions will use consistent structure and language, and the underlying data elements (i.e., questions + answers + definitions) will be encoded using data standards, including SNOMED CT, that will facilitate reliable and consistent data collection and enhance opportunities for question re-use and data sharing. This project is modeled after the CAP eCC.
  • Research Data Standardization
  • CAP eCC
    The electronic structured and encoded assessment and patient data collection forms used for the Cancer Checklists have been developed with the vision that this is an architecture and standard that should be applied to many types of processes and guidelines that require structured methods for data collection and reporting in healthcare.

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