Published online December 16, 2008
PEDIATRICS Vol. 123 Supplement January 2009, pp. S74-S79 (doi:10.1542/peds.2008-1755E)
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SUPPLEMENT ARTICLE


Data Standards and Improvement of Quality and Safety in Child Health Care

S. Andrew Spooner, MD, FAAPa and David C. Classen, MD, MSb

a Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
b Department of Medicine, School of Medicine, University of Utah, Salt Lake City, Utah and Computer Sciences Corporation, Falls Church, Virginia

Progress in using information technology to achieve the goal of high-quality health care is hindered by the lack of coordinated data standards. To accelerate quality improvement in pediatrics, child health providers must participate actively in the creation of health care data standards. To do so will require far greater understanding on the part of pediatricians and other pediatric providers regarding the scope and role of data standards in advancing health information systems for children, as well as how data standards could improve quality in child health, what kinds of data standards hold the most promise for quality improvement in child health, and how child health professionals can engage in the work of creating data standards. Child health professionals in organized and academic medicine should participate in standards development organizations, to present the pediatric point of view as data standards emerge. They also should support efforts to certify electronic health record systems that include pediatric functionality. A major challenge to academic pediatrics is to prove that data standards can lead to improved health outcomes for children; this is only a compelling conjecture as of this writing.

Key Words: electronic health records • personal health records • data standards • quality

Abbreviations: EHR—electronic health record • IT—information technology • SDO—standards development organization • PHR—personal health record

Accepted Sep 11, 2008.


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