... 1. Identify all the users of the health record AND explain how each uses the record. (Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care...
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...1. What is the MPI and what types of information are contained in the MPI? MPI-master patient index, sometimes called a master person index, link a patient’s medical record number with common identification data elements, for example: patient’s complete name, date of birth, gender, mother’s maiden name and social security number. Because most health care facilities house patient records according to a medical record number, the MP becomes the key to locating paper based records in the health information department file system. Thus, the MPI is retained permanently because it serves as the key to finding the patients record, it can be automated or manual. According to the American Health Information Management Association (AHIMA), some recommended core data elements for indexing and searching records include: * Internal patient Identification * Patient Name * DOB * DOB qualifier * Gender * Race * Ethnicity * Address * Alias/pervious name * SS# * Facility identification * Universal patient identifier (if available) * Account number * Admission date * Discharge date * Service type * Patient disposition 2. What are registers and indexes? Registers and registries contain information about a disease or event and are maintained by individual health care facilities, federal and state government agencies and private organizations. Case report form are submitted by health care facilities and providers to report...
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...HEALTH INFORMATION EXCHANGE Heather S HIT 141-10129 Professor Patricia Brennan October 12, 2014 Table of Contents Introduction………………………………………………………………………page 3 What is Health Information Exchange ……………………………….page 3 The History behind Health Information Exchange …………….page 4 Benefits having an Health Information Exchange System……page 5 The different challenges surrounding having an HIE …………..page 6-7 Conclusion……………………………………………………………………………page 7-8 Work Cited/Reference Page………………………….…………………….page 9 Introduction There are many different ways to explain HIE to someone that knows what is going on, but for someone who doesn’t know what it is, it can be challenging. They are may be many parts and information that is left out. One of those things is the exchange and how it works in the healthcare field. In this paper I will explain what health information exchange is and how it is used in everyday purpose for the medical field. What is HIE? Health Information Exchange can be explained as the exchange of medical information among the healthcare team. The doctors, nurses, HIT/HIM professionals, pharmacists and other that are included in the health care team and how they rely on each other to provide medical information regarding the patient after they have been discharged from the healthcare facility. Once a patient leaves a healthcare facility where do their medical records go and how can the healthcare team gain access to them. (Health HIT , 2014) With...
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...Introduction The evolution of information technology (IT) over the years has taken up a special position in health care. As both a spectator and participant in this evolution, the health care industry moves forward with ever-changing technology as its primary driver (Bernstein et al., 2007). Health care organizations believe that in order to practice medicine in the digital era, they need health information and administrative tools that can be accessed immediately. Increasingly, health maintenance providers are taking on various technologies to overcome the complexities of today’s health care requirements, regulatory demands, and ever rising consumers’ expectations (Lee and Meuter, 2010). The intention of organizations to adopt IT is to improve...
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...The laboratory information system is a software based management program that tracks and stores data related to blood work and other laboratory tests such as cerebrospinal fluid and urine samples which are crucial to patient treatment and care. The lab information system, “ can provide many benefits, including a shorter turnaround time for results; prevention of duplicate testing; decreased likelihood of human error; and identification of abnormal results according to age, sex and hospital standards ( Hebda & Czar p.120).” This system allows the results of all specimens to be immediately available as soon as samples are processed. The laboratory specimen may be collected by the nurse or phlebotomist, and is processed through the lab upon arrival. Once it is processed, the results or data are easily accessed by the healthcare team to be interpreted. The LIS makes timely diagnosis possible, and even includes “the automatic entry of repeating tests at the time of the original order. An example might include the order “troponin X3,’ which would automatically schedule the first troponin level, with the second 8 hours later and the third level 8 hours after the second and which would subsequently bundle serial tests into one claim for reimbursement ( Hebda & Czar p. 120).” Although a diagnosis may not be made based solely on a lab result, it can indicate that other testing may be necessary. Since the results are posted into the Nursing Information System, the nurse has the...
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...The Health Information Portability and Accountability Act (HIPAA) provides an exhaustive list of guidelines to ensure that healthcare agencies act in the most effective ways, to avoid violation of privacy as it relates to patient’s health information. Naturally, home health agencies are held to this standard as well. Therefore, it is the job of management to develop methods and policies to protect their patients. While privacy has proven to be a challenge for a number of health care entities, the challenge is increased for home health agencies. Since the job requires for employees to travel frequently, there is an increased risk of accidentally bringing the wrong patient’s chart to another patient’s home and leaving it behind. A perfectly responsible visiting nurse may rush out of her car leaving a prescription print-out on her passenger seat where anyone can see and read it. Similarly, technology presents its own issues. One of the biggest, of these issues is the threat posed to privacy. With banking information, business plans, and even personal...
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...CHAPTER 7 SYSTEM IMPLEMENTATION AND SUPPORT LEARNING OBJECTIVES ■ To be able to discuss the process that a health care organization typically goes through in implementing a health care information system. To be able to appreciate the organizational and behavioral factors that can affect system acceptance and use and strategies for managing change. To be able to develop a sample system implementation plan for a health care information system project, including the types of individuals who should be involved. To gain insight into many of the things that can go wrong during system implementations and strategies health care managers can employ to alleviate potential problems. To be able to discuss the importance of training, technical support, infrastructure, and ongoing maintenance and evaluation of any health care information system project. ■ ■ ■ ■ 167 168 System Implementation and Support Once a health care organization has finalized its contract with the vendor to acquire an information system, the system implementation process begins. Selecting the right system does not ensure user acceptance and success; the system must also be incorporated effectively into the day-to-day operations of the health care organization and adequately supported or maintained. Whether the system is built in-house, designed by an outside consultant, leased from an application service provider (ASP), or purchased from a vendor, it will take a substantial amount of planning...
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...of changes which influence our society as a whole. Our history gives us a panorama view of the traditions we have as nurses and a legacy to pass on to new nurses as they enter the profession. Through periods of war, socioeconomic change, and health care reform, nurses have played a vital role in initiating change to improve the health care arena. In all health care settings, nurses have provided the integrity to maintain the quality of care. This advancement of practice from the treatment of disease to health promotion and disease prevention has led the way in determining the type of providers needed to care for patients. Over the year’s knowledge expansion, nursing care is responsive at all times and access to nursing care should be provided over the internet, by telephone, and by other means in addition to face to face visits. Another trend about providing nursing care based on patient needs and values. Nursing care should be designed to meet the most common types of needs as well as to respond to individual patient choices and preferences. Nurses have to remember that the patient is the source of information. Patients are given the necessary information and the opportunity to exercise the degree of control they choose over health care decisions that affect them. As a profession we have licensure within our states that includes validation of continuing education. Outside of our licensure we have specialty certificates that attests to the hard work and knowledge those...
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...Information System briefing The process of selecting and acquiring an information system can take a toll on any health care organization. Not only are there work stations to install, data bases to build, and networks to test but there are also the process of users to train, data to convert, and procedures to write. The process also consists of endless tasks, and details, which must be completed order for the system to be implemented on time and within budget. However, along with the endless tasks and details the health care organization must address organizational and behavioral issues. The content of this paper will allow the reader to identify the process for selecting and acquiring an information system and identify the roles that each stakeholders plays in the selection and acquisition process. Selection of acquiring a system Selecting and acquiring an information system for a health care organization begins within the implementation process. The implementation process will take place when the organization selects a system which, will continues throughout the duration of the project. During the implementation process the organization must have a significant degree of support from the stakeholders such as the senior executive team, physicians, clinicians, and nurses. The organization must also have a significant amount of staff, which will dedicate his or her time to the project as well as provide resources needed to implement the system. The organization must keep...
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...Application 1 paper: Health Information Exchange Devry University Health HHinformation exchange is all about cost effective and efficient communication and providing services to enable the electronic sharing of health-related information through the use of sophisticated technology (State of New Jersey Department of Health). According to Health IT News, Covisint was named one of the top performing Health information exchange organization vendors and is a proven system that is simplifies technical care integration as well as enables health providers to deliver safer and more efficient care. Covisint is a Detroit-based technology company Covisint for payer/insurer-based HIE. Originally Covisint was strictly focused on the automotive industry but later diverted its technology to the healthcare industry. Covisint is a B2B Cloud company that provides a means for companies to transfer information securely and efficiently across their extended network. Due to their cloud platform their system gives companies the flexibility and convenience of enabling authorized users and devices to exchange information and ideas without limitations or boundaries by utilizing a single point entry. Covisint Healthcare’s HIE services connects and compiles data by using the information for achieved results. This is accomplished through a built in MPI, RLS, CDR and terminology and normalization services. Due to the intelligent capabilities of their healthcare information exchange system they provide...
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...Essentials of Health Information Management Kay Lavender HCR/210 October 27, 2011 Essentials of Health Information Management Source- oriented medical records are kept together by subject matters, such as data from all laboratory results. Progress notes are all kept together and are written in paragraph format; these entries are filed under a specific sectionalized area in the patient chart and are usually in chronological order. Many facilities use the chronological order because this is an easy way to locate the required documents. The major advantage is that information is organized together, which makes it easier to determine the assessment, treatment, and observations a particular department provided a patient. The major disadvantage is there is no possible way to quickly determine all of the patient problems or treatment that has been provided to the patient. Problem- oriented medical records are kept together by a problem number; with this a number is placed to each problem. This is the most traditional way that most physicians document his or her records. Progress notes are kept in a “SOAP format, which is S= subjective, O=objective, A= assessment, and P= plan of action.” (SOAP Notes, 2010) The problem oriented-medical records have four parts, which include a database, problem list, initial plan, and progress notes. The major advantage is the record format is the ease or progression through all the data. The data is organized into stratified sections, which is...
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...Technology Assessment Angela Foster Professor Griffin Health Information Systems January 22, 2012 Through analysis we see that there are many technological advances that need to be made. We’ll start with Communication. Communication must be improved between doctors and patients and hospital staff as a whole. Communication plays a key role in maintaining a patient’s health as any patient or doctor can tell you. Records must be improved upon how there are kept and stored. They must now be kept and stored digitally in order for doctors to have better access to them. Old handwritten files and charts can be misplaced, hard to read, or even out of date. A doctor would probably say if I know what’s going on then I could treat you which is basically what communication does. There’s also Compliance which plays a another big part of innovating technology. Compliance goes a long way by making sure the health care providers keep up with current innovative practices will insure better patient care on their part. Compliance plays a major role on the part of the patient. The patient must do whatever is asked of them by the doctor and health care staff that includes taking medications, keeping appointments, and communicating with doctors. Patients must also report any changes in the health which will let doctors know if the changes or compliance is working improving overall patient care. Another big need for innovation is Security. Security plays a big role because a patient must feel...
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...Austin and Boxerman’s Information Systems for Healthcare Management Seventh Edition Gerald L. Glandon Detlev H. Smaltz Donna J. Slovensky 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 [First Page] [-1], (1) Lines: 0 to 27 * 516.0pt PgVar ——— ——— Normal Page * PgEnds: PageBreak [-1], (1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 AUPHA/HAP Editorial Board Sandra Potthoff, Ph.D., Chair University of Minnesota Simone Cummings, Ph.D. Washington University Sherril B. Gelmon, Dr.P.H., FACHE Portland State University Thomas E. Getzen, Ph.D. Temple University Barry Greene, Ph.D. University of Iowa Richard S. Kurz, Ph.D. Saint Louis University Sarah B. Laditka, Ph.D. University of South Carolina Tim McBride, Ph.D. St. Louis University Stephen S. Mick, Ph.D. Virginia Commonwealth University Michael A. Morrisey, Ph.D. University of Alabama—Birmingham Dawn Oetjen, Ph.D. University of Central Florida Peter C. Olden, Ph.D. University of Scranton Lydia M. Reed AUPHA Sharon B. Schweikhart, Ph.D. The Ohio State University Nancy H. Shanks, Ph.D. Metropolitan State College of Denver * [-2], (2 Lines: 2 59.41 ——— ——— Normal * PgEnds [-2], (2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 [-3], (3) Lines:...
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...Introduction Health care information systems (HCIS) have evolved so much in the last two decades. The evolution has helped transform the way administration and health service providers store and access data. The emergence of personal computers and the internet has helped change the physician workplace and the ease in which information is stored and utilized (Beaver, 2003). The last two decades have been periods of significant change as the health systems have increased in efficiency, decreased costs, increased the quality of care and improved channels of communication. Comparison between a current physician office and 20 years ago The Obama administration placed health reforms in place that have neccesitateed change of physician operations today. Health organizations can now purchase health insurance over the internet. Many health care providers are diverting their attention towards concierge and urgent care services in order to serve the rising demand for health services. Concierge care and critical care organizations have led to the integration of HCIS and improved quality, patient-centered care, assurance standards, easier reimbursement and easier control of costs (Koutsouris & Lazakidou, 2014). Urgent care is defined as offering ambulatory services outside the confines of a hospital. 80% of health organizations in the country today use technology for clinical systems while the other 20% have placed measures in place to do in the coming years (Koutsouris & Lazakidou, 2014)...
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...developers, what measures are necessary to ensure the development of an effective health information system? Since the early 1980s, the healthcare industry has been discussing the need for electronic health records. And indeed, the past 20 years have seen the industry move toward a completely computerized medical record. A variety of technologies have contributed to this evolutionary process, including point-of-care clinical documentation, clinical data repositories, and automated results. The cumulative effect has resulted in slow but steady progress toward a complete electronic health record for the healthcare industry. Clinical and administrative data needed to assess and improve quality, identify potential cost savings, and make strategic decisions have become important as the pressure on healthcare rises. Current trends in healthcare that will drive information technology priorities in the immediate future include the following • Concern about medical errors and overall quality of care • Continued pressure for cost containment • Consumer empowerment • Growth in the use of evidence-based medicine • Demand for protection of privacy and confidentiality of information Effective health information systems are ones that improve health outcomes and reduce healthcare delivery costs. Since most developers are not clinicians, and most clinicians are not developers, to implement these health information systems successfully we must have some understanding of the healthcare domain...
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