C. Collins1, M. Salvatori1, M. Texada1, R. Dicker1, A. Sammann1 1University Of California – San Francisco, Department Of Surgery, San Francisco, CA, USA
Introduction:
Hospital-based violence intervention programs (HVIPs) are a crucial component of the provision of holistic, trauma-informed care for our violently injured patients. HVIPs have been shown to decrease re-injury and criminal recidivism in several studies. However, wide variability exists in the methods and content of data captured across HVIPs. We aimed to develop an HVIP database to capture the complex narratives of our violently injured patients and contribute to efforts in fidelity in the field.
Methods:
We performed a feasibility study to incorporate components essential to an HVIP data collection system. We utilized expert opinion from our frontline workers and the Health Alliance for Violence Intervention’s Standards and Indicators to reach a consensus on these key components. We reviewed all widely available HIPAA-compliant software programs capable of capturing the data in the detail and complexity required and selected the program that best fulfilled these key components.
Results:
We identified eight key components for an HVIP data management system: 1) Accessible for HVIP staff 2) Flexible and adaptive data capture that minimizes redundant documentation 3) Sustainable and cost-effective 4) Built-in referral mechanism 5) Improves transparency of service delivery 6) Supports billing 7) Scalable 8) Elevates the HVIP staff within the trauma center and codifies their expertise. We identified the pre-existing electronic health record as the optimal solution to meet these criteria.
Conclusion:
Leveraging the electronic health record for HVIP data management is a feasible solution for complex data capture. It has the capacity to codify standards and revolutionize efforts in program management and stakeholder buy-in.