Shameena Ramacham Parambath

• Health Information Nosology Coding: Successfully navigated and utilized the Sovera Health Information System Electronic Health Record to adeptly analyze pathophysiological factors contributing to the cause of death, ascertain the underlying cause of death and the chain of events leading to intermediate and immediate cause of death utilizing the ICD-10 coding system.
• Health Information Data Quality: Demonstrated expertise in enhancing health information data quality by meticulously identifying and rectifying inaccuracies in mortality coding and garbage codes that are coded as Underlying cause of death, conditions which mandates an etiology or organ failure, or signs and symptoms coded as Underlying cause of death. Contributed to the establishment of a more accurate and reliable health information system.
• Integration of mortality data and generation of mortality reports: Successfully integrated mortality data into the central health information database, enabling precise reporting on mortality measures, trends, and leading causes of death. Streamlined data processes for informed decision-making.

Prospective Urban Rural Epidemiology (PURE) study is WHO’s largest global health study. It includes 26 countries across the globe investigating the determinants on health

• Health Information Decision support: Played a key role in the adjudicating mortality events and ascertaining the underlying cause of death for 26 countries using the ICD-10 .
• Data Quality: Audited ICD-10 and PURE code discrepancies utilizing statistical software tools and proactively educated various centers to conclude on underlying causes of death, and avoid immediate cause of death.
• Research Adjudication: Contributed to effective decision-making processes by collaboratively engaging with Adjudication Committee chairs and co-chairs.
• Health Informatics-Research network, McMaster-Kerala health Observatory study: Mastered the application of health information and informatics systems in digital technology, leading to the establishment of systems for standardizing and integrating database programs through an Android App.

• Health information in public health research: Played a key role in the conversion of hospitalization events from Case Record Forms (CRFs) to alphanumeric ICD-10 code adhering to ICD-10 guidelines, enhancing accuracy in health data management.
• Research Data processing - Collaborated with statisticians, drawing precise inferential that statistics aligned with investigators' objectives.

• Achieved a streamlined transition from paper records to the Oscar health information system, enhancing efficiency.
• Proactively assisted in the integration of electronic health records across all units, fostering seamless data collaboration

-Quality Designee for Joint Commission International [JCI]Accreditation

• Led the Coding department, overseeing the accuracies in coding hospitalization morbidity and mortality.
• Planned and executed Health Information Management Continuous Quality Improvement projects, emphasizing precision in mortality coding on death certificates and enhancing physician documentation.