...Evolution of Health Care Information Systems San Juana (Janie) Barbosa University of Phoenix Health Information Systems HCS/533 Ahmed Jamal August 07, 2011 Evolution of Health Care Information Systems Health care technology continues to change every day. In the past 20 years, how an individual’s health care information is seen, used, or stored in ones primary care physician private office has a dramatic change. The expansions of the worldwide web, the evolution of electronic medical records and electronic health records have dramatically changed how physician-client information is exchanged. On any given day a patient would walk into the physicians’ office to see a massive bookcase holding the vast amount of patient health information records in different stages of disarray. The office clerk or receptionist would try to answer the phone, hand write and book appointments, pull medical records, and attempt to check the patient into see the physician. Fast forward to the same physicians’ office today, and the scene is very different. The receptionist is still answering the phone and signing in the patient to see the physician, but where is the vast array of patient health information records. The large bookcase in chaotic disarray is a thing of the past. Today the office has multiple high-tech computers, and the receptionist can log the individual into the computer system, rather than handwriting a note or placing a check mark. The patient and physician benefit...
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...Evaluating the Plan The last stage and a very important aspect of our efforts is evaluation. Organizations must evaluate their plan on a regular basis and make adjustments when the circumstances warrant – such as an economic downturn, change in competitors or product demand. Traditionally, plans are evaluated on an annual basis. Here is a sample marketing plan outline included in our readings, Essentials of Health Care Marketing, (Berkowitz, 2006) “Marketing Plan Outline I. MANAGEMENT SUMMARY This is a one-page summary of the basic factors involving the marketing of the service next year along with the results expected from implementing the plan. It is intended as a brief guide for management. II. ECONOMIC PROJECTIONS What factors in the overall economy will affect the marketing of this service next year, and how? This section will comprise a summary of the specific economic factors that will affect the marketing of this service during the coming year. These might include employment, personal income, business expectations, inflationary (or deflationary) pressures, etc. III. THE MARKET—qualitative Who or what kinds of organization could conceivably be considered prospects for this service? This section will define the qualitative nature of our market. It will include demographic information, industrial profiles, business profiles, etc., for all people or organizations that could be customers for this service. IV. THE MARKET—quantitative ...
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...Health Care System Evolution From the Medicare/Medicaid focus, I will attempt to break this down from the evolution of the old to the influence of the current or present systems. I would further consider the old concepts of supply and demand. Health care is no different. In early health care delivery, there was not much demand because there was not much known. In many instances, patients weren't as educated about healthcare and illnesses to know where to go to seek care. This is evident by the people using home remedies and other alternatives that prevented them from going to the doctor. Research was not available as much to the average patients or their families to educate them about the risk of not receiving treatment for certain conditions. When looking at doctors, they use to be just local folks who happened to be doctors, and they treated many conditions in their local offices without needing to file on Medicare/Medicaid. The people were their neighbors and the doctor and patients knew each other personally. Cost was not associated with this type of care. It was like doing a favor for neighbors and friends. Tools and supplies doctors used back then were less expensive. To make a long story short, there was not much patient care demand nor was there much cost. So there was not as much for Medicare/Medicaid to pay for. Finally, the people running Medicare and Medicaid trusted doctors more. If the doctor it stated it was needed, neither Medicare nor Medicaid...
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...Contracts and licenses Contracts and licenses are not themselves intellectual property and are generally considered to be a distinct discipline, not part of the same area of law as intellectual property. Nevertheless, contracts are essential to our system of intellectual property. They are the means by which you share intellectual property. Contracts and licenses are the means by which people let their intellectual property out in a controlled way. Importance Normal people interact with contracts on a daily basis. There are contracts for cell phone service, contracts for parking your car, and contracts for starting a job. Each time you pay with a credit card, you are entering a contract. Contracts are also everywhere in the business world. Contracts are used to buy office supplies, arrange loans, sell assets, and enter partnerships. In one way of thinking, the only way for a corporation to interact with the world is through the language of contracts. That is because contracts are just agreements. People sometimes think of “contracts” as something official, whereas “agreements” are something less. This is not the case. Any binding arrangement is a contract under law and will be subject to the legal system. When dealing with intellectual property, we make agreements about how that IP can be used.These agreements, called licenses in this context, are contracts. You see these licenses all the time when you enter the world of software. For consumer-oriented or open...
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...Evolution of Health Care Information Systems Since the early 1980s, the U.S. health care system has experienced a rapid growth in the sector of health care information technology. This growth can be viewed as an attempt to standardize our fragmented health care system. The health care information technology is no longer an option but a necessity to be compliant with the mandated federal regulations. President George W. Bush in 2004 asked health care providers to implement Electronic Health Records (EHR) by 2014. The Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA) also joined this initiative by asking health care providers to be compliant with the new legislation. Many community-based physician practices previously reluctant to embrace technology are realizing the benefits of the health care information systems, such as computerized physician order entry (CPOE), electronic medical records (EMR), tele-medicine, complex disease management, and automated billing systems. The purpose of this paper is to compare and contrast a contemporary health care facility with a health care facility of 20 years ago. Additionally, the paper will identify at least two major events and technological advantages that influenced the current health care information system (HCIS) practices. Definition of Health Care Information Systems Prior to discussing the evolution of HCIS in the last two decades, it would...
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...healthcare economics, and health care funding. The significance and how it affects the world today. I will address how the history and development of health care economics and the timeline of health care funding has changed over the past years in the United States. What is the Meaning of Evolution of Health Care Economics? Development of health care economics, it is a changing system within the United States. It has become multifaceted and in the past two decades, the upheaval in health care in is largely in lieu of rising health care cost. It is a discipline that deals with the conception, distribution, and all intakes of goods and services. Over the past years, it has dealt with pricing of products and the structure of the economy, as the price-cost relationship of a whole medical firm. It relates to an uncaring conversion, when a demand fails to increase or decrease in percentage to a decrease or increase in price. The adjustment involves the total health care market price of all the goods and services created within the form of a country during an identified time ("Gross domestic Product, " 2014). However, the evolution of health care economics deals with a broad and general aspect of an economy income and investments of the United States as a whole. The history and development of health care economics have been responsive to changing in many ways. It also plays an important role and impedes with the United States through the management care system. The Importance...
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...Running head: Evolution of Health Care Information Systems Evolution of Health Care Information Systems HCS 533 Health Information Systems Tana M. Daniel Steven Fowler January 31, 2011 Evolution of Health Care Information Systems Bridging the gap in health care information technology will promote safe, proficient, patient-focused, and effective patient care in a timely manner. In this paper the subject is to examine two contemporary health care organizations and compare and contrast several features that will include the type of information systems currently in use, analyze the transmission of data 20 years ago and how the exchange of data today. In addition, this paper will cover two major events and technology advances that have influenced current HCIS practices. Five information systems seen in health care organizations are (Wagner, 2009) 1) computerized provider order entry 2) medication administration 3) telemedicine 4) telehealth, and 5) personal health records (p. 121). Each system can provide quality improvement, improve patient safety, and be cost effective. Skilled Nursing Facilities have made significant changes over the last 20 years, in comparison to now. Looking at a skilled nursing facility present time versus a skilled nursing facility operation of Dunseith Community Nursing Home in North Dakota 20 years ago. With the implementation of new rules and regulations, this requires skilled nursing facilities to focus...
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...History and Evolution of Health Care Economics Kimberly Geeter HCS/440 March 28, 2011 Pranab Rout History and Evolution of Health Care Economics Health care economics have changed so much during the course of history. While a lot has to do with the evolutionary changes that the U.S. underwent since inception, the major factors that have influenced change in healthcare economic are medical care and technology. It is important to understand healthcare economic history, and the cash flow system, managers are able to use this information to help prepare the company for its future. It is very important to remember that the drive behind health care economics is money, money helps run health care organization and it’s the key to success “Who pays for what has changed dramatically in the past 60 years. Whereas in the past, the majority of individuals paid their medical bills with private funds, today insurance companies and other third parties cover the majority of payments, with individuals paying only a small fraction of the total flow of funds with private money” (Getzen & Moore, 2007, p. 3, para. 1). History shows that physicians would trade medical services for non-money items (such as cotton, grain, and livestock) as forms of payment if a patient was unable or couldn’t afford the services. As the US advanced in historical factors such as the World Wars, the Great Depression, and technology, a new system had to be used to help the U.S. population with...
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...Evolution of Health Care Information Systems Looking back twenty 1990’s and now in 2010 health care has changed extremely. Health Insurance Portability and Accountability Act (HIPAA) did not exist until 1996. HIPAA made it possible for everyone to qualify for health insurance and setting privacy and they established health information standards and regulation. Veterans Health Administration’s (VHA) had a reputation of poor quality of care and the 90’s were the beginning of a major transformation of VHA that was aimed at improving the efficiency and quality of care that was being provided to their patients. Capability to do data analysis in 1990 was impossible most of the data was collected and stored in a room untouched. Advanced in technology made it possible to do research and do data analysis. The advantages in technology are beneficent to health care information in providing electronic medical records, medical billing, telemedicine and teleradiology. Evolution of Health Care Information Systems Compare/contrast of either health care facility or physician’s office operation with the same 20 years prior To look back twenty years ago in the 1990’s and now in 2010 health care has changed tremendously. In the 1990’s Health Insurance Portability and Accountability Act (HIPAA) did not exist. Prior to HIPAA, which was passed in 1996, there were no regulations or standards for health care delivery in making it more efficient for patients. There...
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...Health Care System Evolution Paper: Managed Care HCS/310 March 12, 2012 Shannon Packard Health Care System Evolution Paper: Managed Care The evolution of the heath care delivery system in the United States has led to the Managed care initiative. “Managed Care emerged at the early 20th century when the United States lacked private and public health insurance” (Rodwin,p. 653, 2010). Managed Care is defined as “any arrangement in which an organization, such as an HMO, another type of Doctor-Hospital network, or an insurance company, act as an intermediate between the person receiving care and the physician (“managed care,” n.d.). Managed care has influenced the current health care system many times over including spurring the creation of HMOs and PPOs. Managed care grew significantly partly in response to physicians and other health care providers charging more and more for services provided in a competition to control the medical market (Rodwin, 2010). These physicians had a serious conflict in interest between trying to sell medical services, in an effort to charge more, and doing what was in the best medical interest for the patient. Managed care has brought about significant change in the way the health care delivery system is handled. Often times, now, a doctor is reimbursed for what is considered, medically necessary, based on a patient’s diagnosis and the normal course of treatment for that diagnosis. They are also reimbursed at a pre-determined rate...
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...EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER 2 THE PATIENT RELATIONSHIPS WITH HEALTH CARE TECHNOLOGY My grandfather would often share stories of the neighborhood Doctor coming to visit the family home and providing medical care or just stopping in to say hello. They were extremely thorough, knew the entire family's history and actually became a part of the family. Over the years, the Doctor's relationship has evolved from the family member/neighborhood doctor to the world of physicians make diagnosis based on the available CPT code and patient visits are conducted via tele-medical devices. Medical relationships first transitioned from the family physician to neighborhood Doctor offices, then to company doctors and now Insurance Companies who act as puppet masters for physicians. I spoke with a friend whom is a physician over the weekend and she said, Medical care is very different than what she pictured it to be. As a doctor, she is as concerned about the times outlined by insurance companies and CPT codes as she about the patient’s health. I am sure my grandfather could have never imagined this type of relationship with his family doctor. To bridge the gap between the physician patient relationship of yesterday and today, technology savvy healthcare providers are using personal digital assistants (PDA) to act as the provider memory bank. The advancement of PDAs is just one of the many revolutionary advances that...
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...1960s in a few health care providing institutions. In the 1970s and 1980s, a number of hospitals and clinics across the U.S. adopted the use of limited EMR technology (Carter, 2001) In the early 1990s, heeding recommendations from the Institute of Medicine (IOM) landmark study, the U.S. government set an ambitious goal for all physicians to computerize patient records by the year 2000 (Dick, R.S., Steen, E.B., & Detmer, D.E. 1997) Due to patients’ privacy issues, less streamlined and often conflicting software technologies, and multiple other barriers in EMR technology adoption, this goal could not be achieved. The adoption of EMR technology started to gather some momentum since 2004 when President George Bush outlined detailed plan to ensure access of electronic health records by all Americans by 2014 (Bush, Executive Order 13335) To achieve this goal, President George Bush created a new, sub-cabinet level National Health Information Technology Coordinator position at the Department of Health and Human Services to implement health IT infrastructure nationwide. The biggest push targeted towards promoting the adoption of EMR technology came with the passage of the American Recovery and Reinvestment Act (ARRA) 2009 by the U.S. Congress which appropriated $19 billion dollars government assistance to jump start the adoption of EMR technology by physicians, clinics, and hospitals. The healthcare reforms highlighted in the ARRA include an investment of $50 billion in health information...
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...Communications Paper HSC/490 November 21, 2011 Professor Green Communications Paper When trying to inform employees and the public about what is going on in the health care organizations, many forms can be used to express this information. Information is passed down from management to employees; it is good to take notice and stress to every employee that they play a vital role in how the organization is viewed. Within any health care organization, the employees are essential components when it comes to saving the company money and making it more productive. Management needs to communicate properly and effectively to employees about the organization’s strategy and what is needed to achieve those plans. By stressing the organization’s strategy, the long-term and short-term goals will not seem so hard to achieve. In this paper, I plan to discuss the different methods that are used in electronica medical records, one of the ways that is used in communication modal is to keep track of all the patients’ medical records, and Health care workers see this as the biggest way of communication when working as a health care giver. Electronic records have been the talk of the century, although for ages charts where the thing but, have slowly been phased out by EMR systems. When you think about this, it opens up doors for much greater technology that could not be implemented into hospitals and doctors’ offices without the productions of EM’s. EMR’s makes the medical staff daily...
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...Discussion Health IT Adoption Introducing change in health care is never easy, i.e, the Obama Healthcare, (universal healthcare system) budget and implementation. By year 2014, the government will oversee that all Americans should receive healthcare regardless of pre-existing conditions, but that also means longer lines and longer services. Even with the change of technologies, I am sure there is significant doubt and opposition. So it comes as no surprise that in the face of changes of the adoption of health IT adoption – even though it carries the promise of improving the nation’s health care – some hospitals and providers will want to push back. Why should we care? The American people should care because they deserve better health care than they are currently receiving, and they need it delivered more efficiently. Health IT Adoption Plan is part of our economic recovery plan. Every provider, every patient throughout our nation will benefit from the goals envisioned by Health IT Adoption. Yes, this will be a challenge. While large hospital networks and smaller providers may be stretched to meet national health IT goals, it is not beyond their capacity for growth. There are incentive programs that will encourage and provide reimbursement to providers who have achieved meaningful use. This will also providing patients with improved quality and safety, more efficient care and save more lives and reduce redundant procedures which will save revenue...
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...Sciences HCS/531 Version 3 Health Care Organizations and Delivery Systems Copyright © 2012, 2011, 2007 by University of Phoenix. All rights reserved. Course Description This course is a comprehensive approach to health care delivery systems that provides the student with an in-depth understanding of health systems and organizations. Students will examine historical evolutions of the health care industry and recent impacts that influence the delivery of health care. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Shi, L., & Singh, D. A. (2012). Delivering health care in America: A systems approach (5th ed.). Boston, MA: Jones and Bartlett. All electronic materials are available on the student website. Assignment Breakdown Week One Individual Assignment: Significant Health Care Event Paper 10 Week Two Learning Team Assignment: The Evolution of Health Care Paper and Timeline 10 ...
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