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A quality improvement model for healthcare terminologies
Tae Youn Kim1, Amy Coenen, Nicholas Hardiker
1College of Nursing, University of Wisconsin-Milwaukee, 1921 E. Hartford Avenue, P.O. Box 413, Milwaukee, WI 53201, USA. kimty@uwm.edu
Journal of Biomedical Informatics
|August 21, 2010
Summary
A new terminology quality improvement (TQI) model was developed to assess and enhance healthcare terminologies. A case study using the International Classification for Nursing Practice (ICNP) validated the TQI model's applicability and identified areas for improvement.
Area of Science:
- Health Informatics
- Information Science
- Nursing Informatics
Background:
- Numerous healthcare terminologies exist with varying quality, content, and structure.
- A standardized framework is needed for selecting, assessing, and improving healthcare terminologies.
Purpose of the Study:
- To formulate and validate a Terminology Quality Improvement (TQI) model for healthcare terminologies.
- To guide stakeholders in terminology selection, quality assessment, and improvement.
Main Methods:
- Literature review and analysis of international healthcare terminology standards.
- Adaptation of Donabedian's structure-process-outcome model.
- Validation through a case study using the International Classification for Nursing Practice (ICNP).
Main Results:
- The TQI model encompasses structure, process, and outcome components across the terminology life cycle.
- Multi-dimensional quality measures were identified for content, structure, mapping, and process management.
- The ICNP case study confirmed the TQI model's applicability and the relevance of its quality criteria.
Conclusions:
- The developed TQI model effectively represents the complexities of terminology quality management.
- The ICNP case study demonstrated the model's practical application and highlighted specific areas for ICNP enhancement, such as policy and documentation.
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