title: The California Clinical Data Project: a case study in the adoption of clinical data standards for quality improvement.
abstract: The California Clinical Data Project is a statewide initiative to remove barriers to the widespread and effective use of information technology to improve chronic disease care. The project is a case study in the development and widespread adoption of clinical data standards by varied and often competing stakeholders. As an initial step, the project defined precise data standards for the batch reporting of pharmacy claims data and laboratory results data. These uniform standards facilitate the flow of existing electronic clinical information into disease registries and electronic health record systems. Pharmacy and lab results data now are being exchanged electronically with this standard among the largest health plans, medical groups, and clinical laboratories participating in California's pay-for-performance programs. Lessons from this project may apply to the development and adoption of data standards for other states and locales and for the emerging national health information infrastructure.
authors.affiliation: Sujuansky & Associates LLC.
authors.forename: Walter
authors.initials: W
authors.lastname: Sujansky
authors.forename: Sophia
authors.initials: S
authors.lastname: Chang
mesh_terms: D002140:California; D002908:Chronic Disease / Q000628:therapy*; D002984:Clinical Laboratory Information Systems / Q000592:standards*; D016303:Clinical Pharmacy Information Systems / Q000592:standards*; D003253:Consultants; D004059:Diffusion of Innovation; D019468:Disease Management; D017598:Efficiency, Organizational; D019983:Guideline Adherence; D019981:Health Care Sector / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D019982:Organizational Case Studies; D010865:Pilot Projects; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012042:Registries; D012052:Reimbursement, Incentive; D018511:Systems Integration