Pulm Professional Development

Question 1

Which method facilitates the secure linkage health records to place-based variables?

Why is this important?

Answer 1

DeGAUSS - Decentralized Geomarker Assessment for mUlti-Site Studies

Allows for the characterization of community and environmental exposures - can uncover the socil determinates that affect a patient’s health

Question 2

What is a POLST form?

Who should have one?

Answer 2

Provider Orders for Life-Sustaining Treatment

• Used to inform people outside of the hospital of the patient’s wishes (ex: nursing home staff, EMTs, etc)
• The phsyician has already “signed off” on the orders

Who should have one?

• Write one with your patient if you would not be surprised if they died in the next year

Question 3

List two strategies to reconcile different data sources from healthcare centers who use different EHRs with different data warehouse architectures?

Answer 3

• Use a common data model
  
  • Standardize the data into a common set of tables
  • Allows data to run on any EHR system that uses the common data model, even if the systems are different from each other
  • Ex: PCORnet
• Use a public cloud - the PMI way
  
  • Data are standardized, stored, and protected in a common place
  • Ex: All of Us

Question 4

Why is “power of attorney” a stronger designation than “default surrogate?”

Answer 4

• Somebody appointed with power of attorney holds all of the power
  
  • Person can specifiy which powers the POA has vs. does not have
• The default surrogate can only refuse life support if the patient has a qualifying condition
  
  • Terminal condtion that will cause imminent death
  • Permanent unconsciousness
  • Incurable or irreversible condition that will ultimately cause the patient’s death or inflict unreasonable suffering

Question 5

The Illinois Personal Information Protection Act expands the definition of personal information to include…

Answer 5

• Medical information
• Health insurance information
• Biometrics
  
  • Username/email address + password/security question answer

Question 6

What is PCORnet?

Answer 6

A Common Data Model that allows data from a patient to run at any site that uses the same common data model (even if they are using different EHR systems)

Question 7

Give some examples of specially protected health information (SPHI)

Answer 7

Mental health - psychoanalyst notes

Substance abuse records