CAP Health Information Management Solutions
CAP offers Professional Services in clinical and technical implementation strategies and solutions, combined with mapping services, to promote health data interoperability and improve quality of care. Services feature best-practice advice for the integration of clinical terminologies within an electronic health record (EHR), including the identification and mapping of structured data elements from existing clinical content sources
CAP Professional Services
- Health IT Strategy and Planning
- Quality and Performance Improvement
- Clinical Terminology
- Clinical Informatics
- Semantic Interoperability
- Research Data Management
- Reporting and Quality Metrics
- Health Exchange Initiatives
- Synoptic Reporting
- Education
CAP consultants provide organizations with the following services to identify and resolve health data interoperability challenges:
- Assessment-Evaluation of client's clinical content, analysis of data structures, review of current clinical terminology practices, and creation of a terminology strategy
- Health IT Strategy and Planning-Development of a strategic roadmap for integration of terminology to provide desired clinical and business goals
- Implementation-Collaboration with clinical and technical teams to integrate terminology to yield desired clinical and business outcomes
- Mapping-Cross mapping/coding proprietary data, code sets, and classifications
- Validation-Verification of client-initiated and other non-CAP terminology mappings
- Maintenance-Assurance of successful adherence to the terminology roadmap
- Education-Customized to meet client needs anytime during the client-engagement lifecycle
CAP Consulting Services Delivered for Clients:
Clinical
- Comprehensive terminology assessment, implementation planning and strategy development for clinical terminologies for a database management company, software development companies, emergency department clinical documentation system, and statewide health agency
- Validation of data content standards, e.g., LOINC and SNOMED, for federally required assessment instruments for government agencies
- EHR lexicon development employing standard nursing terminologies for hospital's data dictionary
- SNOMED CT update management, including migration of older version of SNOMED to SNOMED CT for clinics and laboratories
- Standardization of electronic pathology reporting protocols and data transmission standards for cancer registries, hospital laboratories, and laboratory information systems vendors
- Support health information exchange by providing SNOMED CT subject matter expertise for patient assessments for an international health data exchange organization and professional health IT association
Mapping
- Comprehensive services from mapping use case development through to maintenance for government agencies, medical associations, medical centers, and EHR vendors. Services include SNOMED CT mappings for:
- ICD-9-CM, ICD-10-CM (to come), CPT-4, and other universally accepted classifications
- LOINC, MEDCIN, and several nursing terminologies
- Proprietary code sets and existing data dictionaries
- Demonstration project for the use and implementation of a rules-based map to support reimbursement, using enhanced algorithms based on specific mapping guidelines and heuristics for a university medical center and government agency
- Mapping and validation of existing clinical content to SNOMED CT for an emergency medicine EHR vendor
Technical
- High-level strategy for implementing terminology into health IT systems for database management and software development companies
- Implementation of standard terminologies within health IT systems for companies specializing in emergency department clinical documentation
- Review and validation of SNOMED CT's use within hospitals' information systems
- Development of an effective SNOMED CT coding selection strategy for technology companies patient encounter forms
- Terminology strategy and lexicon coding/development advice for statewide health agencies
- Strategies for post-coordination and/or extensions to support local terminology needs for national boards of health
- Development and maintenance of user-defined subsets to support terminology implementations of various clinical specialties for hospital health care systems
- Definition of requirements to scope a terminology implementation project for a statewide health agency and other health care providers
Other Offerings Include:
- Creation and maintenance of SNOMED CT subsets and extensions
- Technical training for clinical terminology implementers
- Implementation planning from feasibility to integration for clinical terminologies and classifications
- Content delivery and clinical process integration
- Post-implementation validation and maintenance services for clinical terminologies and classifications
- Lexicon coding and development of data dictionary
CAP provides consultation globally with clients in Australia, Canada, Denmark, Hong Kong, Israel, Japan, Lithuania, the Netherlands, Spain, South Korea, Sweden, the United Kingdom, and the United States.