The first article in our mapping series will focus on lab data, addressing the following common questions: Why is LOINC code mapping important? What exactly is being mapped and why? How can an advanced data quality solution help?
Why is LOINC code mapping important?
Today, healthcare organization must code lab data using the industry IT standard terminology LOINC® (Logical Observation Identifiers Names and Codes), based on USCDI to advance interoperability. Once this data is harmonized, then it can be used for care management programs, longitudinal reporting and better patient outcomes.
Providers and payers need access to reliable lab data and other clinical codes to evaluate patient populations and inform decision-making for disease management. The reality is that the quality of the lab data being used today across electronic medical records (EMRs) and other clinical systems to generate analytics is recognized across the industry as an area that desperately needs improvement.
What exactly is being mapped and why?
Consolidating lab data across an entire health system is especially challenging due to the variation in (non-standardized) terminologies used to document in the various databases. For example, one of our large health system clients reported having more than 100 different representations within their data warehouse for documenting the A1C test for diabetes, of which none were mapped to LOINC.
Without a framework in place to ensure lab data is normalized to this industry standard, healthcare organizations run the risk of negative downstream impacts including:
- Inaccurate, skewed metrics for reporting quality measures
- Missed opportunities for reimbursement due to invalid codes
- Misinformed population health strategies
- Compromised patient safety due to unrecognized care gaps
- Compliance risks